Lao Pha
Lao Pha is a Driver in Big Lake, Minnesota. Licensed in Minnesota. Registered with an NPI since 2014.
- Licensed in
- MN
- In the registry since
- 2014
Practice location Address checks out
171 Lake St N # 102Big Lake, MN 55309-9254
Phone: (651) 774-1166
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Driver (primary) | Taxonomy 172A00000X · Licence 374889 (MN) |
|---|
Record details
| NPI number | 1245639301 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | August 14, 2014 |
| Last updated in NPPES | August 14, 2014 |
| Mailing address | 171 Lake St N # 102, Big Lake, MN 55309-9254 |
Other providers in Big Lake
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Poulo LLC
20328 Prairie Dr, Big Lake, MN 55309-4808 · (917) 690-2357