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NPI Code Detail

MEDICARE: LUCAS FROHREICH PMHNP-BC

MEDICARE:   LUCAS  FROHREICH  PMHNP-BC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LP0808XPsychiatric/Mental Health Nurse Practitioner5612MN

General Provider Information

NPI Number : 1710402706
Entity Type Code : Individual
Provider Name (Legal Business Name) : LUCAS FROHREICH PMHNP-BC
Provider Business Mailing Address
First Line : 6808 CLINTON AVE
Second Line :
City : RICHFIELD
State : MN
Zip : 55423-2442
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 6401 FRANCE AVE S
Second Line :
City : EDINA
State : MN
Zip : 55435-2199
Country : US
Telephone Number : 952-924-5000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/10/2017
Last Update Date : 08/16/2021

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Directions to “ LUCAS FROHREICH PMHNP-BC” Practice Location

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