Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. LUCAS JOHN KERANEN, ATC
ActiveMR. LUCAS JOHN KERANEN, ATC is a Athletic Trainer healthcare provider located in WILLOW RIVER, Minnesota. NPI 1922205152 is currently active in the NPPES registry. Verify at CMS.
Athletic Trainer · WILLOW RIVER, MN
Registration Details
- NPI Number
- 1922205152
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 29, 2007 (19.169738250208 yrs)
- Last Updated
- Jul 8, 2007
- License
-
1550 (MN)
Practice Information
- Address
-
86032 COUNTY HIGHWAY 61WILLOW RIVER, MN, 557953216Browse MN providers · Browse ZIP 55795
- Phone
- 2183723101
- Primary Specialty
-
Athletic Trainer
2255A2300X
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.