Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | 35.091531 | OH |
N | 208000000X | Pediatrician | EC-05-049 | ME |
Y | 2080P0210X | Pediatric Nephrologist | 0101250269 | VA |
NPI | 1083789960 |
---|---|
Provider Name | Dr. Megan M Lo |
First Address | Richmond, VA 23291-1734 |
Second Address | Richmond, VA 23298-0510 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/11/2006 |
Last Update Date | 29/09/2011 |