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LAO PHA
NPI 1245639301
Driver in Big Lake, MN

Active since August 14, 2014
171 LAKE ST N # 102, BIG LAKE, MN 55309(651) 774-1166 Get Directions Write a Review

NPPES record last updated: August 14, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Lao Pha NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LAO PHA (NPI 1245639301) is an individual driver provider in Big Lake, Minnesota, licensed in Minnesota (374889) and active in the NPI registry since August 2014.

NPPES Registry Identity

NPI1245639301
Entity TypeIndividualMale
Primary Taxonomy172A00000X
Provider Legal NameLAO PHA
Location Address171 LAKE ST N # 102Big Lake, MN 55309-9254
Mailing Address171 Lake St N # 102Big Lake, MN 55309-9254
Phone(651) 774-1166
Sole ProprietorNo
Enumeration DateAugust 14, 2014
✔ NPI 1245639301 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDriverOther Service Providers
Taxonomy Code172A00000X
License✔ Licensed in MN · 374889
Definition
A person employed to operate a motor vehicle as a carrier of persons or property.
171 LAKE ST N # 102, Big Lake, MN 55309
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Other Identifiers 1

MedicaidA304195200MN

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

APPLE RIDE LLC
Non-emergency Medical Transport (VAN)
171 LAKE ST N # 102
BIG LAKE, MN 55309
Sherburne County (651) 774-1166

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lao Pha's NPI number?

The NPI number for Lao Pha is 1245639301. It was assigned to this individual provider in the NPPES registry on August 14, 2014.

Where is Lao Pha located?

Lao Pha practices at 171 Lake St N # 102, Big Lake, MN 55309. The listed phone number is (651) 774-1166.

What is Lao Pha's specialty?

The primary specialty registered for this NPI is Driver with taxonomy code 172A00000X.

When was this NPI record last updated?

The NPPES record for Lao Pha was last updated on August 14, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.