Healthcare Provider Details

I. General information

NPI: 1619275773
Provider Name (Legal Business Name): LAO INTERPRETER & TRANSLATOR SERVICES, LLC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/14/2011
Last Update Date: 03/14/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4914 RUSSELL AVE N
BROOKLYN CENTER MN
55430-3718
US

IV. Provider business mailing address

4914 RUSSELL AVE N
BROOKLYN CENTER MN
55430-3718
US

V. Phone/Fax

Practice location:
  • Phone: 612-454-8548
  • Fax: 888-231-3158
Mailing address:
  • Phone: 612-454-8548
  • Fax: 888-231-3158

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171R00000X
TaxonomyInterpreter
License Number
License Number State

VIII. Authorized Official

Name: JENNY BUFFY SOUMOUNTHA
Title or Position: PRESIDENT
Credential:
Phone: 612-454-8548