Provider Demographics
NPI:1467131946
Name:LO, NDEYE FATOU (DO)
Entity Type:Individual
Prefix:MISS
First Name:NDEYE
Middle Name:FATOU
Last Name:LO
Suffix:
Gender:F
Credentials:DO
Other - Prefix:MISS
Other - First Name:NDEYE
Other - Middle Name:F
Other - Last Name:LO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:7124 GREGORY CREEK LN
Mailing Address - Street 2:
Mailing Address - City:WEST CHESTER
Mailing Address - State:OH
Mailing Address - Zip Code:45069-1566
Mailing Address - Country:US
Mailing Address - Phone:513-394-1053
Mailing Address - Fax:
Practice Address - Street 1:7124 GREGORY CREEK LN
Practice Address - Street 2:
Practice Address - City:WEST CHESTER
Practice Address - State:OH
Practice Address - Zip Code:45069-1566
Practice Address - Country:US
Practice Address - Phone:513-394-1053
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-07-13
Last Update Date:2023-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes385HR2060XRespite Care FacilityRespite CareRespite Care, Intellectual and/or Developmental Disabilities, Child