| Lo Medical Clinic | |
|
2353 Rice St Ste 210 Roseville MN 55113-3721 | |
| (651) 203-0040 | |
| (651) 486-7594 |
| Full Name | Lo Medical Clinic |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 2353 Rice St Ste 210, Roseville, Minnesota |
| Authorized Official Name and Position | Mayka Ly (ADMINISTRATOR) |
| Authorized Official Contact | 6512030040 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lo Medical Clinic 2353 Rice St Ste 210 Roseville MN 55113-3721 Ph: (651) 203-0040 | Lo Medical Clinic 2353 Rice St Ste 210 Roseville MN 55113-3721 Ph: (651) 203-0040 |
| NPI Number | 1194877399 |
|---|---|
| Provider Enumeration Date | 01/17/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194877399 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
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