Teresa M. Lo M.D.
Otolaryngology Physician in Atlanta, GA(View on Map)
Full Name
Teresa M. Lo M.D.
NPI Number
1588753354
NPI Type
Individual Provider
Gender
Female
Enumeration Date
10/12/2006
Specialties
(Taxonomies)Licenses
State
Florida
Georgia
License Number
ME92622
59460
Contact
Information
Purpose
Mailing
Location
Address
20 GLENLAKE PKWY
20 GLENLAKE PKWY
City
Atlanta
Atlanta
State
GA
GA
Postal Code
30328-3473
30328-3473
Country
US
US
Telephone Number
(770) 677-6137
(770) 677-6137
Identifiers
Identifier
59460
ME92622
Identifier State
GA
FL
Identifier Issuer
LICENSE
MEDICAL LICENSE
Health Information Exchange
Endpoint Type
SOAP
Endpoint
https://careepiceast.kp.org:14430/Interconnect-prodgam/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ceq
Endpoint Description
Carequality
Use
Health Information Exchange (HIE)
Content Type
Other
Other Description:C-CDA
Affiliation
Y
Endpoint Location
Permanente Medical Group20 Glenlake PkwyAtlanta, GA303283473US
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 01/13/2022
Provider Address
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