Dr Melanie Lo, MD | |
701 Park Avenue, Mail Code G5, Minneapolis, MN 55415 | |
(612) 873-4455 | |
Not Available |
Full Name | Dr Melanie Lo |
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Gender | Female |
Speciality | Hospitalist |
Location | 701 Park Avenue, Minneapolis, Minnesota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1447541156 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208M00000X | Hospitalist | 55697 (Minnesota) | Primary |
Entity Name | Hennepin Healthcare System Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1033138136 PECOS PAC ID: 4789684861 Enrollment ID: O20070207000467 |
Mailing Address | Practice Location Address |
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Dr Melanie Lo, MD 701 Park Avenue, Mail Code G5, Minneapolis, MN 55415 Ph: (612) 873-4455 | Dr Melanie Lo, MD 701 Park Avenue, Mail Code G5, Minneapolis, MN 55415 Ph: (612) 873-4455 |
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