Individual
DR. LUCAS THOR HENNINGSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
325 11TH AVE, TWO HARBORS, MN 55616-1300
(218) 249-5555
Mailing address
325 11TH AVE, TWO HARBORS, MN 55616-1300
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
70026
MN
Other
Enumeration date
05/19/2020
Last updated
11/13/2024
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