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NPI Code Detail

MEDICARE: TSZ CHUNG LO

MEDICARE:   TSZ CHUNG  LO
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
1363A00000XPhysician Assistant

General Provider Information

NPI Number : 1134956618
Entity Type Code : Individual
Provider Name (Legal Business Name) : TSZ CHUNG LO
Provider Business Mailing Address
First Line : 9500 EUCLID AVE
Second Line :
City : CLEVELAND
State : OH
Zip : 44195-0001
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 9500 EUCLID AVE
Second Line :
City : CLEVELAND
State : OH
Zip : 44195-2452
Country : US
Telephone Number : 909-680-5713
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/18/2024
Last Update Date : 02/07/2025

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Directions to “ TSZ CHUNG LO ” Practice Location

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