Issa Tew Lo
Nurse Practitioner - Acute Care
814 Toll House Ave
Frederick
, Maryland 21701-4519
Issa Tew Lo
Nurse Practitioner - Acute Care
814 Toll House Ave
Frederick
, Maryland 21701-4519
(301) 788-7089
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About
Features
Specialties
- Nurse Practitioner - Acute Care
Languages spoken
- English
Location
First Address
- Issa Tew Lo
- 730 Monarch Ridge Rd
- Frederick, MD
- Zip : 21703-2226
- Phone : (301) 788-7089
Second Address
- Issa Tew Lo
- 814 Toll House Ave
- Frederick, MD
- Zip : 21701-4519
- Phone : (301) 662-8310
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LA2100X | Nurse Practitioner - Acute Care | R182467 | MD |
National Provider Identifier
| NPI | 1013546100 |
|---|---|
| Provider Name | Issa Tew Lo |
| First Address | Frederick, MD 21703-2226 |
| Second Address | Frederick, MD 21701-4519 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 02/04/2020 |
| Last Update Date | 06/12/2021 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.