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Contact Information

LARRY J LO, MD
445 W EATON AVE
TRACY, CA95376
 Phone: 209-335-0100
 Fax: 209-835-7257
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Obstetrics & Gynecology

207V00000X 16 Physician/Obstetrics & Gynecology
Indicates primary specialty

NPI Profile & details for LARRY J LO · (Male)

NPI Number 1205850864
Status Active
Credentials MD
Entity Individual
Enumeration date 07/27/2006
Last updated 02/05/2019 - About 7 years ago
Sole proprietor 1 No
Identifiers
  • CA License # G54156
  • CA Medicaid 00G541560
Hospital affiliation(s)
  • SUTTER TRACY COMMUNITY HOSPITAL - (Acute Care)
    1420 N TRACY BLVD
    TRACY, CA 95376
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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