Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. LUCAS CHARLES GLYNN, PA-C
ActiveMR. LUCAS CHARLES GLYNN, PA-C is a Physician Assistant healthcare provider located in PLLYMOUTH, Minnesota. NPI 1699042416 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · PLLYMOUTH, MN
Registration Details
- NPI Number
- 1699042416
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Nov 22, 2011 (14.719210909409 yrs)
- Last Updated
- Jul 6, 2023
- License
-
11033 (MN)
Practice Information
- Address
-
16800 37TH PL NSTE 200PLLYMOUTH, MN, 55446Browse MN providers · Browse ZIP 55446
- Phone
- 7635207870
- Fax
- 7635207580
- Primary Specialty
-
Physician Assistant
363A00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.