Individual
LORI DARLENE LUKOVSKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
1050 COUNTY ROAD E. WEST, SHOREVIEW, MN 55126-8022
(651) 484-8448
(651) 484-2066
Mailing address
3550 LEXINGTON AVE N, STE 210, SHOREVIEW, MN 55126-8092
(651) 486-3811
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3899
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
82D42LU
BCBS
MN
Enumeration date
04/04/2007
Last updated
11/08/2018
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