Organization · Type 2 NPI
Lokeh Plastic Surgery PA
Specialist · Plymouth, MN
NPI number
1194977447
Active
Practice location
15535 34th Ave N # 100
Plymouth, MN 55447-1481
Fax (763) 479-3006
Mailing address
3500 Vicksburg Ln N # 128
Plymouth, MN 55447-1334
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | 40568 (MN) |
Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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About NPI 1194977447
Lokeh Plastic Surgery PA's National Provider Identifier is 1194977447, issued on Oct 17, 2008. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Plymouth, MN. The record was last updated on Jun 30, 2014.