Organization Name: | SOLOMON C. LUO, MD, PC |
NPI Number: | 1902046865 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | SOLOMON C LUO (PRESIDENT) |
Mailing Address: | 214 E Independence St Shamokin |
State: | PA US |
Postal Code: | 178726832 |
Phone Number: | 5706484444 |
Fax Number: | 5706480552 |
NPI Enumeration Date: | 03/04/2009 |
NPI Last Update Date: | 04/15/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 156FX1800X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Eye and Vision Services Providers |
Taxonomy Classification: | Technician/Technologist |
Taxonomy Specialization: | Optician |
Taxonomy Definition: |