Lokeh Plastic Surgery PA

Primary specialty

SpecialistTaxonomy code 174400000X

License

40568 Issued in MN

Legal business name

LOKEH PLASTIC SURGERY PA

Practice address

15535 34TH Ave N # 100
Plymouth, MN 55447-1481

Phone

(612) 360-7700

Fax

(763) 479-3006

NPI assigned

Oct 17, 2008

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Kristine Evelyn Lanie, CST

Title

Office MGR

Phone

(612) 360-7700

Specialties & licenses 1

Addresses

Other names 1

• Twin Cities Plastic Surgery Doing business as

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Adam Lokeh, M.D.

  • Plastic Surgery Physician
  • Minnetonka, MN
  • NPI 1205939618
  Medicare reassignment NPD
• Anne Jenkins, AUD

  • Audiologist
  • Woodbury, MN
  • NPI 1467906982
  NPD (past)
• Brianne Barnett Roby, M.D.

  • Otolaryngology Physician
  • Saint Paul, MN
  • NPI 1265605778
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1224201600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1404086400000",
    "number": "1194977447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3500 VICKSBURG LN N # 128",
            "city": "PLYMOUTH",
            "state": "MN",
            "postal_code": "554471334",
            "telephone_number": "612-360-7700",
            "fax_number": "763-479-3006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15535 34TH AVE N # 100",
            "city": "PLYMOUTH",
            "state": "MN",
            "postal_code": "554471481",
            "telephone_number": "612-360-7700",
            "fax_number": "763-479-3006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOKEH PLASTIC SURGERY PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-17",
        "last_updated": "2014-06-30",
        "status": "A",
        "authorized_official_last_name": "LANIE",
        "authorized_official_first_name": "KRISTINE",
        "authorized_official_middle_name": "EVELYN",
        "authorized_official_title_or_position": "OFFICE MGR",
        "authorized_official_telephone_number": "612-360-7700",
        "authorized_official_credential": "CST"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "MN",
            "license": "40568",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Twin Cities Plastic Surgery",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Andrew Yongkun Liu
• Jessica Liu
• Living Well Chiropractic, P.C.
• Living Well Chiropractic, P.C.
• Tenzin Tsetan Lobsang
• Jayne Ellen Long, PT
• Lisa Lavonn Long, RN CNS
• Joycelin Vicky Lopez, AUD
• Emily Lord
• Natalie Losito

• Specialist in Plymouth, MN
• Providers in Plymouth, MN by specialty
• Specialist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.