Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 4301067002 | MI |
N | 111NI0900X | Internist | 4301067002 | MI |
Y | 207RG0100X | Gastroenterologist | 4301067002 | MI |
NPI | 1013090935 |
---|---|
Provider Name | Anna Suk-Fong Lok |
First Address | Ann Arbor, MI 48108-1633 |
Second Address | Ann Arbor, MI 48109-5000 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/10/2006 |
Last Update Date | 05/11/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
3221140 | (05) | MI |
F02995 | (02) | MI |