Thirath Mark Luong, PA-C

NPI #1629304654 in Lakeville, Minnesota

Provider Information

NPI Number: 1629304654
Entity Type: Individual
Name: Thirath Mark Luong, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Oct 27, 2009
Last Updated: Oct 31, 2025

Practice Location

Address: 17210 KENYON AVE
City: Lakeville
State: Minnesota
ZIP Code: 55044-6903
Phone: (651) 968-5201

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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