Provider Demographics
NPI:1831429752
Name:LUO, AIMEE LYNN (DO)
Entity type:Individual
Prefix:DR
First Name:AIMEE
Middle Name:LYNN
Last Name:LUO
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:145 N NARBERTH AVE
Mailing Address - Street 2:
Mailing Address - City:NARBERTH
Mailing Address - State:PA
Mailing Address - Zip Code:19072-1923
Mailing Address - Country:US
Mailing Address - Phone:610-667-0650
Mailing Address - Fax:610-667-1481
Practice Address - Street 1:145 N NARBERTH AVE
Practice Address - Street 2:
Practice Address - City:NARBERTH
Practice Address - State:PA
Practice Address - Zip Code:19072-1923
Practice Address - Country:US
Practice Address - Phone:610-667-0650
Practice Address - Fax:610-667-1481
Is Sole Proprietor?:No
Enumeration Date:2009-12-29
Last Update Date:2012-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOS016101207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine