LARRY J LO MD INC NPI 1760453922

NPI Information

  • NPI: 1760453922
  • Provider Name: LARRY J LO MD INC
  • Classification: Obstetrics & Gynecology - 207V00000X
  • Entity Type: Organization
  • Address: 632 W 11TH ST
    SUITE 119
    TRACY, CA
    ZIP 95376
  • Phone: (209) 229-3700

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NPI Details

LARRY J LO MD INC is an obstetrics gynecology in Tracy, CA. The provider is an obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. LARRY J LO MD INC NPI is 1760453922. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

632 W 11TH ST
SUITE 119
TRACY, CA
ZIP 95376-856
Phone: (209) 229-3700
Fax: (209) 229-3755

The provider's authorized official is Larry J Lo .
The authorized official title is Md and has the following contact phone number (209) 229-3700.

The enumeration date for this NPI number is 1/27/2006 and was last updated on 3/3/2015.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207V00000XObstetrics & GynecologyG54156CALIFORNIAYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1ZZZ29352ZMEDICARE ID-TYPE UNSPECIFIEDCALIFORNIA
200G541560MEDICAIDCALIFORNIA
3A52666MEDICARE 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: 3/30/2025

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