Individual
LUCAS INGRAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
10011 ABBOTT AVE S, BLOOMINGTON, MN 55431-2715
(651) 983-1487
Mailing address
10011 ABBOTT AVE S, BLOOMINGTON, MN 55431-2715
(651) 983-1487
Taxonomy
Speciality
Code
Description
License number
State
171WH0202X
Home Modifications Contractor
Primary
BC809512
MN
Other
Enumeration date
12/06/2025
Last updated
12/06/2025
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