MEDICARE: JULIE H LOK

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	183500000X	Pharmacist	046580-1	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	046580-1	OTHER	NY	THE UNIVERSITY OF THE STATE OF NEW YORK, EDUCATION DEPARTMENT

General Provider Information

NPI Number	:	1104083203
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JULIE H LOK

Provider Business Mailing Address
First Line	:	1260 60TH ST
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11219-4911
Country	:	US
Telephone Number	:	718-853-8645
Fax Number	:

Provider Business Practice Location Address
First Line	:	1260 60TH ST
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11219-4911
Country	:	US
Telephone Number	:	718-853-8645
Fax Number	:

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

Provider Enumeration Date	:	05/18/2008
Last Update Date	:	12/08/2009

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Directions to “ JULIE H LOK ” Practice Location

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