Provider Demographics
NPI:1861424681
Name:LO, CHENG SENG (PHARMD)
Entity type:Individual
Prefix:DR
First Name:CHENG
Middle Name:SENG
Last Name:LO
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1685 RICE ST
Mailing Address - Street 2:
Mailing Address - City:SAINT PAUL
Mailing Address - State:MN
Mailing Address - Zip Code:55113-6802
Mailing Address - Country:US
Mailing Address - Phone:651-631-2117
Mailing Address - Fax:
Practice Address - Street 1:1685 RICE ST
Practice Address - Street 2:
Practice Address - City:SAINT PAUL
Practice Address - State:MN
Practice Address - Zip Code:55113-6802
Practice Address - Country:US
Practice Address - Phone:651-488-0251
Practice Address - Fax:651-488-7515
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN116662-6183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist