THIRATH LUONG, PA-C

Physician Assistant

Active Individual
NPI: 1629304654

Practice Address

17210 KENYON AVE
Lakeville, MN 55044

Phone: (651) 968-5201

Specialties

Specialty Code Primary License
Physician Assistant 363A00000X Yes 10898 (MN)

Frequently Asked Questions

NPI 1629304654 is the National Provider Identifier for THIRATH LUONG, PA-C, a Physician Assistant provider located in Lakeville, MN. This NPI was enumerated on October 27, 2009.
THIRATH LUONG, PA-C practices at 17210 KENYON AVE, Lakeville, MN 55044.

Quick Facts

NPI
1629304654
Type
Individual
Enumerated
Oct 27, 2009
Last Updated
Oct 31, 2025

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