Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1245639301 Individual Practitioner Male Practitioner

Lao Pha

Driver • Big Lake, MN

Professional Overview & Biography Verified Profile Summary

Lao Pha is a registered healthcare professional specializing in Driver in Big Lake, MN. Practice services are available at 171 LAKE ST N # 102 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

171 Lake St N # 102

Big Lake, MN 553099254

Telephone 6517741166
Associated Practice Facility / Clinic
🏢 Apple Ride Llc Facility NPI 1568823730

Specialty Benchmarks & Practice Insights

Comparative analytics for Driver in Big Lake, MN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
1 Specialists

Practicing in Big Lake, MN (239 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Driver Primary Specialty

NUCC Taxonomy Code: 172A00000X

State License MN 374889

A person employed to operate a motor vehicle as a carrier of persons or property.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
A304195200 (MN)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active August 14, 2014

NPI status registered as active in NPPES database

📍
Updated Practice Location August 14, 2014

Registered at 171 LAKE ST N # 102, BIG LAKE, MN 553099254 (Tel: 6517741166)

📍
Updated Business Mailing Address August 14, 2014

Registered at 171 LAKE ST N # 102, BIG LAKE, MN 553099254

👤
Provider Name / Credentials Updated August 14, 2014

Recorded as LAO PHA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 14, 2014

Driver (License #374889 in MN)

🟢
Initial NPI Registration & Enumeration August 14, 2014

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1245639301
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 14, 2014
Last Update: August 14, 2014
Sole Proprietor: No

Mailing Address

171 Lake St N # 102

Big Lake, MN 553099254

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.