IndividualActive
Lucas Ingram
NPI 1912860982 · Home Modifications Contractor · Bloomington, MN
Provider details
- NPI number
- 1912860982
- Entity type
- Individual
- Primary specialty
- Home Modifications ContractorOther Service Providers
- Sex
- Male
- Sole proprietor
- No
- License
- BC809512 (MN)
Specialties & taxonomies
Other Service Providers
Practice location
10011 Abbott Ave S
Bloomington, MN 55431-2715
Phone: (651) 983-1487
Approximate (ZIP-level) locationGet directions
Mailing address
10011 Abbott Ave S
Bloomington, MN 55431-2715
Registry dates
- Enumerated
- 2025-12-06
- Last updated
- 2025-12-06
- Certified
- 2025-12-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.