Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Lucas Robert Vandergon

Individual provider Pharmacist · NPI 1710653001

Lucas Robert Vandergon is a Pharmacist in Plymouth, Minnesota. Licensed in Minnesota. Registered with an NPI since 2021.

Licensed in
MN
In the registry since
2021

Practice location Address checks out

3255 Vicksburg Ln N
Plymouth, MN 55447-1317
Phone: (763) 253-8917
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence 125352 (MN)

Record details

NPI number1710653001
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedAugust 18, 2021
Last updated in NPPESAugust 18, 2021
Certification dateAugust 13, 2021
Mailing address8822 Shadyview Ln N, Maple Grove, MN 55311-1490

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