Lo, Mikel W

Lo, Mikel W is an sole proprietor health care provider with primary practice located at 5940 N. La Cholla Blvd , Tucson AZ 85741. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Ophthalmology, Allopathic & Osteopathic Physicians / Ophthalmic Plastic and Reconstructive Surgery. Allopathic & Osteopathic Physicians / Ophthalmic Plastic and Reconstructive Surgery is his primary health care specialty. Lo, Mikel W can be contacted via phone (520) 877-2725.

Contact Information

Primary practice address
5940 N. La Cholla Blvd Tucson AZ 85741
Phone: (520) 877-2725
Fax: (520) 547-0220
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 25801 Arizona
Allopathic & Osteopathic Physicians / Ophthalmic Plastic and Reconstructive Surgery 207WX0200X 25801 Arizona

Profile Details

NPI number 1578557914
LBN Legal business name Lo, Mikel W
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 31st, 2005
Last updated Jun 28th, 2016 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1578557914 NPPES
Arizona Other 124361 HEALTHNET
Arizona MEDICAID 374223001 HEALTHNET
Arizona Other AZ0870940 HEALTHNET

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