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MIKEL W LO MD INC NPI 1124158555


NPI Information

NPI: 1124158555
Provider Name: MIKEL W LO MD, INC

Doing Business As: ABOUT FACES COSMETIC SURGERY

Classification: Ophthalmology - 207W00000X
Entity Type: Organization

CLIA Number: 03D1076142

Address:
5940 N. LA CHOLLA BLVD
TUCSON, AZ
ZIP 85741
Phone: (520) 877-2725
Get Directions

MIKEL W LO MD, INC is an ophthalmology in Tucson, AZ. The provider is an ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. MIKEL W LO MD, INC NPI is 1124158555. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As About Faces Cosmetic Surgery.

The provider's business location address is:

5940 N. LA CHOLLA BLVD
TUCSON, AZ
ZIP 85741
Phone: (520) 877-2725
Fax: (520) 547-0220

The provider's authorized official is Mikel W Lo .
The authorized official title is Direct Owner and has the following contact phone number (520) 877-2725.

The CLIA number assigned to this NPI record is 03D1076142 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/6/2007 and was last updated on 7/22/2014.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207W00000XOphthalmology25801ARIZONAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1G36520MEDICARE UPINARIZONA
261981MEDICARE ID-TYPE UNSPECIFIEDARIZONA
3G36520MEDICARE UPIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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