Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207SG0201X | Clinical Genetics (M.D.) | K2355 | TX |
Y | 207VM0101X | Gynecologist - Maternal & Fetal Medicine | K2355 | TX |
NPI | 1558327874 |
---|---|
Provider Name | Julie Yu-Pu Lo |
First Address | Dallas, TX 75284-5347 |
Second Address | Dallas, TX 75390-7208 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/04/2006 |
Last Update Date | 30/07/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
046775503 | (05) | TX |
G93657 | (02) |