Luong, Thirath Mark
Luong, Thirath Mark is an individual health care provider with primary practice located at 17210 Kenyon Ave , Lakeville MN 55044-6903. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Luong, Thirath Mark can be contacted via phone (651) 968-5201.Contact Information
Primary practice address
17210 Kenyon Ave
Lakeville MN 55044-6903
Phone: (651) 968-5201
Fax: (651) 968-5903
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 10898 | Minnesota |
Profile Details
| NPI number | 1629304654 |
|---|---|
| LBN Legal business name | Luong, Thirath Mark |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 27th, 2009 |
| Last updated | Oct 31st, 2025 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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