NPI
Lucas Thor Henningsen
NPI 1164045647
Read from the NPPES registry on October 23, 2026.
Facts
- Status
- Active
- Credential
- MD
- Type
- Individual
- Enumeration date
- 2020-05-19
- Last updated
- 2024-11-13
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Specialties
Licenses
- License MN
- 70026
Location
- Practice location
- 325 11th Ave
- City
- Two Harbors MN
- Postal code
- 55616-1300
- Phone
- (218) 249-5555
Medicare
- PECOS
- A PECOS enrollment row matches this NPI.
LEIE
No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. Confirm on OIG's online search.
Nearby
Family Medicine Doctors in Two Harbors, MN. 11 with this primary taxonomy in the public file.
Other NPIs in Two Harbors, MN. 143 records in the public file.
Public data from NPPES and CMS. Not a credentialing determination.
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