NPI 1134637143
Lucky Vang
Practice location
- Address
- 409 Dunlap St N, Saint Paul, MN 55104-4201
- Phone
- (651) 290-9200
- Mailing address
- 2228 E Lake St, Minneapolis, MN 55407-4321
Registered specialties (2)
Advanced Practice Dental Therapist
Primary
Dental Therapist
Registry record
- NPI
- 1134637143
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 12 Jan 2018
- Record last updated
- 2 May 2022
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.