Search › Minnesota › 172A00000X
Lao Pha
NPI 1245639301 · on the registry since 2014
Practice
- Address
- 171 Lake St N # 102
Big Lake, MN 55309 - Phone
- (651) 774-1166
- Organisation at this address
- Apple Ride Llc
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 172A00000X
172A00000X
- Licence states on file
- MN
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2014-08-14
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Minnesota