Individual
MR. LUCAS CHARLES GLYNN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
16800 37TH PL N, STE 200, PLLYMOUTH, MN 55446
(763) 520-7870
(763) 520-7580
Mailing address
4200 DAHLBERG DR STE 300, GOLDEN VALLEY, MN 55422-4841
(952) 512-5600
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
11033
MN
Other
Enumeration date
11/22/2011
Last updated
07/06/2023
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