Individual
LUCKY VANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
300 S BRUCE ST, MARSHALL, MN 56258-1934
(507) 532-9661
Mailing address
300 S BRUCE ST, MARSHALL, MN 56258-1934
(651) 276-6787
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
5151009660
MI
Other
Enumeration date
08/24/2010
Last updated
06/30/2020
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