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NPI Code Detail

MEDICARE: MONICA YA-WEN LO MD

MEDICARE: MONICA YA-WEN LO MD
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
1207RC0000XCardiovascular Disease PhysicianE8011OK
2207RC0001XClinical Cardiac Electrophysiology PhysicianE8011OK

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1BP1-00216151OTHERINSTITUTIONAL PERMIT

General Provider Information

NPI Number : 1578772604
Entity Type Code : Individual
Provider Name (Legal Business Name) : MONICA YA-WEN LO MD
Provider Business Mailing Address
First Line : 3200 QUAIL SPRINGS PKWY STE 200
Second Line :
City : OKLAHOMA CITY
State : OK
Zip : 73134-2699
Country : US
Telephone Number : 405-701-9880
Fax Number : 405-764-8670
Provider Business Practice Location Address
First Line : 3200 QUAIL SPRINGS PKWY STE 200
Second Line :
City : OKLAHOMA CITY
State : OK
Zip : 73134-2699
Country : US
Telephone Number : 405-701-9880
Fax Number : 405-764-8670
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/22/2007
Last Update Date : 03/16/2026

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Directions to “ MONICA YA-WEN LO MD” Practice Location

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