Vivian Lo PA-C

NPI 1003167453 - Physician Assistant - 363A00000X

NPI Details
NPI 1003167453
Gender Female
Enumeration Date 09/25/2012
Last Updated 09/25/2012
Entity Type Individual
Active Over 4 years ago
Practice Location
2481 PACHECO ST
CONCORD CA, 94520-2019, US
Phone (925) 680-8933
Fax
Business Location
2481 PACHECO ST
CONCORD CA, 94520-2019, US
Phone (925) 680-8933
Fax
Toxanomy
Taxonomy Code 363A00000X
License State California
License Number PA22434
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According to our database, Vivian Lo PA-C NPI is 1003167453, taxonomy code is 363A00000X and license number is PA22434, license state is located at California. Vivian Lo PA-C physically located at 2481 Pacheco St, Concord CA, 94520-2019. NPI Number Vivian Lo PA-C has the Individual type.

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1003167453 NPI number is provided on an as is basis without warranty of any kind. 1003167453 is maintained by the National Plan & Provider Enumeration System. The contents of Vivian Lo PA-C are for informational purposes only.