Individual
LUCAS NEUBURG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CNP
Contact information
Practice address
2450 RIVERSIDE AVE, MINNEAPOLIS, MN 55454-1450
(612) 365-6777
Mailing address
2450 RIVERSIDE AVE STE CODE8951, MINNEAPOLIS, MN 55454-1450
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
11366
MN
Other
Enumeration date
01/08/2021
Last updated
06/19/2024
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