Provider Demographics
NPI:1689473803
Name:ARONSON, LUCAS
Entity type:Individual
Prefix:
First Name:LUCAS
Middle Name:
Last Name:ARONSON
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5730 CLUB LN
Mailing Address - Street 2:
Mailing Address - City:SHOREWOOD
Mailing Address - State:MN
Mailing Address - Zip Code:55331-8526
Mailing Address - Country:US
Mailing Address - Phone:651-395-9439
Mailing Address - Fax:
Practice Address - Street 1:5730 CLUB LN
Practice Address - Street 2:
Practice Address - City:SHOREWOOD
Practice Address - State:MN
Practice Address - Zip Code:55331-8526
Practice Address - Country:US
Practice Address - Phone:651-395-9439
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-03-10
Last Update Date:2025-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program