Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
THIRATH MARK LUONG, PA-C
ActiveTHIRATH MARK LUONG, PA-C is a Physician Assistant healthcare provider located in LAKEVILLE, Minnesota. NPI 1629304654 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · LAKEVILLE, MN
Registration Details
- NPI Number
- 1629304654
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 27, 2009 (16.753153601631 yrs)
- Last Updated
- Oct 31, 2025
- License
-
10898 (MN)
Practice Information
- Address
-
17210 KENYON AVELAKEVILLE, MN, 550446903Browse MN providers · Browse ZIP 55044
- Phone
- 6519685201
- Fax
- 6519685903
- Primary Specialty
-
Physician Assistant
363A00000X
Other Physician Assistant Providers in LAKEVILLE, MN
| Name | Credential | NPI |
|---|---|---|
| DONOVAN POHL | PA | 1982650826 |
| JENNIFER J. KRIEG | PA | 1265469647 |
| ROBBIN DALE GHERE | PA-C | 1821276148 |
| AMI KOMLANVI | PA-C | 1265874366 |
| HEATHER GABRIELLE GUERTIN | PA | 1265968374 |
| SANDRA OGATO | PA-C | 1023526506 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.