Healthcare Provider Details

I. General information

NPI: 1518127794
Provider Name (Legal Business Name): STELLA LINDA LUO MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/11/2008
Last Update Date: 10/22/2021
Certification Date: 10/22/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5201 HAMILTON BLVD
ALLENTOWN PA
18106-9113
US

IV. Provider business mailing address

5201 HAMILTON BLVD
ALLENTOWN PA
18106-9113
US

V. Phone/Fax

Practice location:
  • Phone: 610-530-4444
  • Fax: 610-366-1343
Mailing address:
  • Phone: 610-530-4444
  • Fax: 610-366-1343

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207W00000X
TaxonomyOphthalmology Physician
License NumberMD442692
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: