Lo, Jennifer

Lo, Jennifer is an individual health care provider with primary practice located at 8400 Washington Ave , Mount Pleasant WI 53406-3735. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Lo, Jennifer can be contacted via phone (262) 884-4000.

Contact Information

Primary practice address
8400 Washington Ave Mount Pleasant WI 53406-3735
Phone: (262) 884-4000
Fax: (262) 884-4176
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 901666 Wisconsin

Profile Details

NPI number 1538458401
LBN Legal business name Lo, Jennifer
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 31st, 2011
Last updated Oct 23rd, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1538458401 NPPES
Wisconsin MEDICAID 100034426

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