Organization
LUBOVICH CHIROPRACTIC, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT CLARENCE LUBOVICH D.C. (OWNER)
(952) 898-4900
Entity
Organization
Contact information
Practice address
10880 175TH CT W STE 120, LAKEVILLE, MN 55044-7493
(952) 898-4900
(952) 898-7626
Mailing address
10880 175TH CT W STE 120, LAKEVILLE, MN 55044-7493
(952) 898-4900
(952) 898-7626
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2726
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0H011-LU
BLUE CROSS BLUE SHEILD
MN
Enumeration date
04/04/2007
Last updated
05/30/2013
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