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Individual

ROBERT DAVID LUKIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
2020 SILVER BELL RD STE 9, EAGAN, MN 55122-1050
(651) 452-7018
(651) 686-6130
Mailing address
2020 SILVER BELL RD STE 9, EAGAN, MN 55122-1050
(651) 452-7018
(651) 686-6130

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2066
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
230505
CHIROPRACTIC CARE OF MN
MN
01
25322LU
BCBS GROUP NUMBER
MN
05
657727000
MN
01
77035LU
BCBS INDIVIDUAL ID
MN
Enumeration date
11/17/2006
Last updated
07/08/2007
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