Poulo LLC

Primary specialty

DriverTaxonomy code 172A00000X

Legal business name

POULO LLC

Practice address

20328 Prairie Dr
Big Lake, MN 55309-4808

Phone

(917) 690-2357

NPI assigned

Apr 27, 2026

Organization subpart

No

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

Authorized official

Name

Ousmane Sow

Title

Owner

Phone

(191) 769-0235

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1777248000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1777248000000",
    "number": "1346186806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20328 PRAIRIE DR",
            "city": "BIG LAKE",
            "state": "MN",
            "postal_code": "553094808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20328 PRAIRIE DR",
            "city": "BIG LAKE",
            "state": "MN",
            "postal_code": "553094808",
            "telephone_number": "917-690-2357"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POULO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-04-27",
        "last_updated": "2026-04-27",
        "certification_date": "2026-04-27",
        "status": "A",
        "authorized_official_last_name": "SOW",
        "authorized_official_first_name": "OUSMANE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "191-769-0235"
    },
    "taxonomies": [
        {
            "code": "172A00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Driver",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eileen Marie Peterson, MA
• Lao Pha
• Melissa Ann Poehler, LADC
• Angela Polley, MA, NBC-HWC
• Gary Potvin
• Kira Jeannette Powell, DDS
• Sara J. Prom
• Psychological Assessment Services
• Marissa Ragusin
• Jagannathan Ramakrishnan, DDS

• Driver in Big Lake, MN
• Providers in Big Lake, MN by specialty
• Driver in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.