Provider Demographics
NPI:1174797153
Name:LO, SHENG-FU LARRY (MD, MHS, FAANS)
Entity type:Individual
Prefix:DR
First Name:SHENG-FU
Middle Name:LARRY
Last Name:LO
Suffix:
Gender:M
Credentials:MD, MHS, FAANS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:805 NORTHERN BLVD STE 100
Mailing Address - Street 2:
Mailing Address - City:GREAT NECK
Mailing Address - State:NY
Mailing Address - Zip Code:11021-5301
Mailing Address - Country:US
Mailing Address - Phone:516-562-4256
Mailing Address - Fax:516-562-2635
Practice Address - Street 1:805 NORTHERN BLVD STE 100
Practice Address - Street 2:
Practice Address - City:GREAT NECK
Practice Address - State:NY
Practice Address - Zip Code:11021-5301
Practice Address - Country:US
Practice Address - Phone:516-562-4256
Practice Address - Fax:516-562-2635
Is Sole Proprietor?:No
Enumeration Date:2008-04-21
Last Update Date:2021-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD75995207T00000X
NY283024207T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207T00000XAllopathic & Osteopathic PhysiciansNeurological Surgery