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Organization
P.L. LUKOVSKY CHIROPRACTIC CLINIC P.A.
Active
Organization
P.L. LUKOVSKY CHIROPRACTIC CLINIC P.A.
Active
Other names
Lukovsky Chiropractic Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEVEN LUKOVSKY D.C. (VICE PRESIDENT)
(218) 624-5751
Entity
Organization
Contact information
Practice address
5602 GRAND AVE, DULUTH, MN 55807-2540
(218) 624-5751
(218) 624-5752
Mailing address
5602 GRAND AVE, DULUTH, MN 55807-2540
(218) 624-5751
(218) 624-5752
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
69470LU
BLUE CROSS BLUE SHIELD
MN
01
—
C08041
MEDICARE
MN
Enumeration date
11/09/2007
Last updated
11/09/2007
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