THIRATH MARK LUONG

LAKEVILLE, MN
NPI1629304654
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: MN  10898)
Enumeration Date2009-10-27
Last Update Date2025-10-31
Business Address
THIRATH MARK LUONG PA-C
17210 KENYON AVE
LAKEVILLE, MN 55044-6903
Phone number: 651-968-5201
Mailing Address
THIRATH MARK LUONG PA-C
710 COMMERCE DR STE 200
WOODBURY, MN 55125-4925
Phone number: 651-968-5200
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