Individual
LUC R DELAVILLEFROMOY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
515 DELAWARE ST SE, MINNEAPOLIS, MN 55455-0357
(612) 625-2495
Mailing address
515 DELAWARE ST SE, MINNEAPOLIS, MN 55455-0357
(612) 625-2495
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
MN
Other
Enumeration date
05/09/2023
Last updated
07/13/2025
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