Individual
PANG HOUA LEE-VANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
4108 81ST AVE N, BROOKLYN PARK, MN 55443-2545
(612) 281-8727
Mailing address
4108 81ST AVE N, BROOKLYN PARK, MN 55443-2545
(612) 281-8727
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
6476
MN
Other
Enumeration date
03/22/2019
Last updated
03/22/2019
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