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Individual

SIMON S LO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1959 NE PACIFIC ST, SEATTLE, WA 98195-0001
(206) 598-4100
Mailing address
PO BOX 50095, SEATTLE, WA 98145-5095
(206) 543-6420

Taxonomy

Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
MD60636973
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1932163680
WA
Enumeration date
04/12/2006
Last updated
09/06/2016
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