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NPI Code Detail

MEDICARE: DAVID D. LO, MD, PLLC

MEDICARE: DAVID D. LO, MD, PLLC
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
12086S0122XPlastic and Reconstructive Surgery Physician

General Provider Information

NPI Number : 1477409514
Entity Type Code : Organization
Provider Name (Legal Business Name) : DAVID D. LO, MD, PLLC
Provider Business Mailing Address
First Line : 6512 DEANE HILL DR STE 201
Second Line :
City : KNOXVILLE
State : TN
Zip : 37919-6005
Country : US
Telephone Number : 865-357-2639
Fax Number : 865-217-3295
Provider Business Practice Location Address
First Line : 6512 DEANE HILL DR STE 201
Second Line :
City : KNOXVILLE
State : TN
Zip : 37919-6005
Country : US
Telephone Number : 865-357-2639
Fax Number : 865-217-3295
Authorized Official
Title or Position : SURGEON
Name : DR. DAVID LO
Credential : MD
Telephone Number : 865-357-2639
Provider Enumeration Date : 03/10/2026
Last Update Date : 03/10/2026

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