Conrad C. Lo in Rockford - Physician Assistant

Conrad C. Lo - NPI 1881701365

Conrad C. Lo is a Physician Assistant in Rockford, Illinois. Conrad C. Lo practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Conrad C. Lo is 1881701365. The last update date is 2023-08-18.

Conrad C. Lo's current location address is Po Box 5247, Rockford, Illinois. You can contact this provider via phone number 8153989491 and fax number 8153817498. The mailing address for Conrad C. Lo is Po Box 5247, Rockford, Illinois. To know further, please read the information below!

Provider Profile Detail

Provider Name Conrad C. Lo
Address Po Box 5247, Rockford, Illinois
Phone Number 8153989491
Fax Number 8153817498
Sole Proprietor N
Credentials P.A.-C.

NPI Number Detail

NPI Number 1881701365
Provider Enumeration Date 2006-08-23
Last Updated Date 2023-08-18

Provider Mailing Address Detail

Address Po Box 5247
City Rockford
State Illinois (IL)
Post Code 611250247
Phone Number 8153989491
Fax Number 8153817498

Provider's Primary Taxonomy Detail

Speciality Physician Assistant
Taxonomy 363A00000X
Licence No 085-002461
Definition:
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor

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FAQs about Conrad C. Lo

What is the Conrad C. Lo's unique identification number?

The Conrad C. Lo has been assigned the NPI (National Provider Identifier) Number 1881701365 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Can you provide the Conrad C. Lo's physical address?

The Conrad C. Lo is physically located at Po Box 5247, in the city of Rockford, IL, with the postal code 611250247.

What is Conrad C. Lo's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Conrad C. Lo is Physician Assistant, and the taxonomy classification code that categorizes this area of expertise is 363A00000X.

On what date did the Centers for Medicare & Medicaid Services assign the 1881701365 to Conrad C. Lo?

The Centers for Medicare & Medicaid Services assigned the 1881701365 to Conrad C. Lo on 2006-08-23.

As of what date was the information regarding Conrad C. Lo, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Conrad C. Lo, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2023-08-18.

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