| Doctor Name: | LARRY J LO |
| NPI Number: | 1205850864 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MD |
| License Number: | G54156 |
| Business Practice Address: | 632 W 11th St Suite 119 Tracy, CA - 953763856 |
| Business Phone Number: | 2092293700 |
| Business Fax Number: | 2092293755 |
| Mailing Address: | 632 W 11th St, Suite 119 TRACY |
| State: | CA |
| Postal Code: | 953763856 |
| Phone Number: | 2092293700 |
| Fax Number: | 2092293755 |
| NPI Enumeration Date: | 07/27/2006 |
| NPI Last Update Date: | 03/03/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 207V00000X |
| License Number: | G54156 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Obstetrics & Gynecology |
| Taxonomy Specialization: | |
| Taxonomy Definition: | 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. |