Provider Demographics
NPI:1669545422
Name:LO, HARRY C S (MD)
Entity type:Individual
Prefix:DR
First Name:HARRY
Middle Name:C S
Last Name:LO
Suffix:
Gender:
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17907 112TH AVE SE
Mailing Address - Street 2:
Mailing Address - City:RENTON
Mailing Address - State:WA
Mailing Address - Zip Code:98055-6510
Mailing Address - Country:US
Mailing Address - Phone:425-793-7336
Mailing Address - Fax:
Practice Address - Street 1:7101 MARTIN LUTHER KING JR WAY S STE 217
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98118-3592
Practice Address - Country:US
Practice Address - Phone:206-722-7786
Practice Address - Fax:206-722-7884
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-17
Last Update Date:2025-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMD00009765207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine