Individual
DR. JACQUELINE A LUONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MEDICAL DOCTOR
Contact information
Practice address
6545 FRANCE AVE S STE 350, EDINA, MN 55435-2120
(952) 920-2600
(952) 920-2668
Mailing address
6545 FRANCE AVE S STE 350, EDINA, MN 55435-2120
(952) 920-2600
(952) 920-2668
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
40310
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1300021
MEDICA PRIMARY
MN
01
—
1300179
MEDICA
MN
01
—
151727
UCARE
MN
05
—
34612600
—
WI
01
—
40310
MINNESOTA LICENSE
MN
05
—
495527700
—
MN
01
—
548T8LU
BLUE CROSS BLUE SHIELD
MN
01
—
960001031243
PREFERREDONE
MN
01
—
HP35943
HEALTHPARTNERS
MN
01
—
P00263371
RAILROAD MEDICARE
MN
Enumeration date
08/30/2006
Last updated
03/11/2021
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