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Individual

DR. EDDIE P LO

Active
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Individual

DR. EDDIE P LO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.P.M.

Taxonomy

Speciality
Code
Description
License number
State
213ES0131X
Foot Surgery Podiatrist
Primary
PO00000633
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1106012
WA
01
215606
LABOR AND INDUSTRIES
WA
05
8473167
WA
01
LO2467
REGENCE
WA
01
P00434092
MEDICARE RAILROAD
WA
Enumeration date
06/08/2006
Last updated
03/25/2024
Update your record

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