Provider Demographics
NPI:1821275702
Name:LUO, BETSY P (MD)
Entity type:Individual
Prefix:DR
First Name:BETSY
Middle Name:P
Last Name:LUO
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:5201 HAMILTON BOULEVARD
Mailing Address - Street 2:
Mailing Address - City:ALLENTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18106
Mailing Address - Country:US
Mailing Address - Phone:610-530-4444
Mailing Address - Fax:610-366-1343
Practice Address - Street 1:5201 HAMILTON BOULEVARD
Practice Address - Street 2:
Practice Address - City:ALLENTOWN
Practice Address - State:PA
Practice Address - Zip Code:18106
Practice Address - Country:US
Practice Address - Phone:610-530-4444
Practice Address - Fax:610-366-1343
Is Sole Proprietor?:No
Enumeration Date:2008-01-23
Last Update Date:2024-05-10
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
PAMD439917207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA102471946Medicaid
PA102774668Medicaid
PA186232YH3HMedicare PIN
PA102471946Medicaid