Individual
LUCAS J BEECHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.
Contact information
Practice address
550 OSBORNE RD NE, RT. 52840, FRIDLEY, MN 55432-2718
(763) 236-5000
Mailing address
6401 UNIVERSITY AVE NE, FRIDLEY, MN 55432-4341
(763) 572-5710
(763) 571-3008
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
1013
MN
Other
Enumeration date
07/16/2007
Last updated
07/16/2007
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