Individual
LUCAS TIBOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
711 KASOTA AVE SE, MINNEAPOLIS, MN 55414-2842
(612) 672-2233
Mailing address
711 KASOTA AVE SE, MINNEAPOLIS, MN 55414-2842
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
2458181
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2458181
MINNESOTA BOARD OF NURSING
MN
Enumeration date
01/01/2022
Last updated
01/01/2022
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