Provider Demographics
NPI:1104018068
Name:VANG, BOBBEE BEE (LAC)
Entity type:Individual
Prefix:
First Name:BOBBEE BEE
Middle Name:
Last Name:VANG
Suffix:
Gender:M
Credentials:LAC
Other - Prefix:
Other - First Name:BEE
Other - Middle Name:
Other - Last Name:VANG
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LAC
Mailing Address - Street 1:800 E 28TH ST
Mailing Address - Street 2:MAIL ROUTE 15115
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55407-3723
Mailing Address - Country:US
Mailing Address - Phone:612-863-1931
Mailing Address - Fax:612-863-9019
Practice Address - Street 1:800 E 28TH ST
Practice Address - Street 2:MAIL ROUTE 15115
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55407-3723
Practice Address - Country:US
Practice Address - Phone:612-863-1931
Practice Address - Fax:612-863-9019
Is Sole Proprietor?:No
Enumeration Date:2007-08-15
Last Update Date:2007-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN1310171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist