Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0203X | Pediatric Critical Care Doctor | 78162 | MA |
NPI | 1033100680 |
---|---|
Provider Name | Dr. Josephine Mun-Yee Lok |
First Address | Charlestown, MA 02129-9142 |
Second Address | Boston, MA 02114-2621 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/11/2005 |
Last Update Date | 30/09/2014 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0186881 | (05) | MA |
078162 | TUFTS HEALTH PLAN (01) | MA |
F65409 | (02) | |
J26713 | BCBS MA (01) | MA |