MEDICARE: THOMAS LOI M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2085R0202X	Diagnostic Radiology Physician	4301091566	MI

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1053587535
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	THOMAS LOI M.D.

Provider Business Mailing Address
First Line	:	D128 W FEE HALL
Second Line	:
City	:	EAST LANSING
State	:	MI
Zip	:	48824-1315
Country	:	US
Telephone Number	:	517-355-3503
Fax Number	:

Provider Business Practice Location Address
First Line	:	138 SERVICE RD STE A204
Second Line	:
City	:	EAST LANSING
State	:	MI
Zip	:	48824-1376
Country	:	US
Telephone Number	:	517-353-4920
Fax Number	:	517-432-2243

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/05/2008
Last Update Date	:	09/25/2008

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Directions to “ THOMAS LOI M.D.” Practice Location

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