Lao Pha

Driver · Big Lake, MN

Individual Active NPI

NPI number 1245639301

Practice location

171 Lake St N # 102
Big Lake, MN 55309-9254
Phone
(651) 774-1166

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NPI record

NPI
1245639301
Entity type
Individual (Type 1)
Enumeration date
August 14, 2014
Last updated
August 14, 2014
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Driver Primary 172A00000X 374889 MN

About Lao Pha

Lao Pha is a healthcare provider registered in the NPI registry with the primary taxonomy Driver (code 172A00000X). The practice location is 171 Lake St N # 102, Big Lake, MN 55309-9254. The NPI number 1245639301 was assigned on August 14, 2014 and the record was last updated on August 14, 2014.

Lao Pha lists a license in the registry: #374889 (MN) for Driver. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Lao Pha?

The NPI number is 1245639301.

What is the phone number of Lao Pha?

The phone number listed for the practice location is (651) 774-1166.

Where is Lao Pha located?

171 Lake St N # 102, Big Lake, MN 55309-9254.

What is the taxonomy code for Lao Pha?

The primary taxonomy code is 172A00000X – Driver.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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