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Contact Information

LUCAS C GLYNN, PA-C
16800 37TH PL N
STE 200
PLLYMOUTH, MN55446
 Phone: 763-520-7870
 Fax: 763-520-7580
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for LUCAS C GLYNN · (Male)

NPI Number 1699042416
Status Active
Credentials PA-C (Physician Assistant-Certified)
Entity Individual
Enumeration date 11/22/2011
Last updated 07/06/2023 - About 3 years ago
Sole proprietor 1 No
Identifiers
  • MN License # 11033
Hospital affiliation(s)
  • FAIRVIEW NORTHLAND REGIONAL HOSPITAL - (Acute Care)
    911 NORTHLAND DR
    PRINCETON, MN 55371
  • FAIRVIEW SOUTHDALE HOSPITAL - (Acute Care)
    6401 FRANCE AVENUE SOUTH
    EDINA, MN 55435
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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