Stephen Lo, MD | |
3051 Cahill Main, Fitchburg, WI 53711-7109 | |
(608) 661-7200 | |
Not Available |
Full Name | Stephen Lo |
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Gender | Male |
Speciality | Pediatrics |
Location | 3051 Cahill Main, Fitchburg, Wisconsin |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1407875206 | NPI | - | NPPES |
32381300 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
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208000000X | Pediatrics | 36986 (Wisconsin) | Primary |
Entity Name | Group Health Cooperative Of South Central Wisconsin |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1245260165 PECOS PAC ID: 3870489586 Enrollment ID: O20040227000306 |
Mailing Address | Practice Location Address |
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Stephen Lo, MD 1265 John Q Hammons Dr, Madison, WI 53717-1941 Ph: (608) 251-4156 | Stephen Lo, MD 3051 Cahill Main, Fitchburg, WI 53711-7109 Ph: (608) 661-7200 |
Thomas C Puchner Jr., MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 5763 N Hill Ct, Fitchburg, WI 53711 Phone: 608-278-8303 | |
Meriel S Rongstad, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 5543 E Cheryl Pkwy, Fitchburg, WI 53711 Phone: 608-274-5300 Fax: 608-274-4224 | |
Joseph A Crisalli, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 2844 Index Rd, Fitchburg, WI 53713 Phone: 608-229-7979 Fax: 608-229-8110 | |
Lalitha V Iyer, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 5543 E Cheryl Pkwy, Fitchburg, WI 53711 Phone: 808-274-5300 Fax: 608-274-4224 |