Individual
VIRASITH K LUANGAPHAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
315 MAPLE ST, GRAND ISLAND, NE 68801-7815
(308) 227-9864
Mailing address
315 MAPLE ST, GRAND ISLAND, NE 68801-7815
Taxonomy
Speciality
Code
Description
License number
State
372500000X
Chore Provider
Primary
—
—
Other
Enumeration date
06/18/2026
Last updated
06/18/2026
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