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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