Individual provider Active NPI

Lori Darlene Lukovsky, DC

  • Chiropractor
  • Shoreview, MN
National Provider Identifier
1730201435
Registry record updated Nov 8, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3899 Issued in MN
Practice address
1050 County Road E. West
Shoreview, MN 55126-8022
Phone
(651) 484-8448
Fax
(651) 484-2066
NPI assigned
Apr 4, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 3899 MN Primary

Addresses

Primary practice location

1050 County Road E. West
Shoreview, MN 55126-8022

Mailing address

3550 Lexington Ave N
Ste 210
Shoreview, MN 55126-8092
Phone (651) 486-3811

Other identifiers 1

IdentifierTypeStateIssuer
82D42LUOtherMNBCBS

Other names 1

  • Lori Darlene Norris Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080306000300 MN Practitioner - Chiropractic 1658456231 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Logan College of Chiropractic, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3550 Lexington N Ave
Suite 210
Shoreview, MN 55126
Phone (651) 486-3811

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3899MNMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Lifetree Chiropractic & Wellness, LLC Chiropractor CurrentSince Sep 15, 2015 Accepting new patients
Integrated Chiropractic Services Chiropractor PastSince Feb 1, 2000 Accepting new patients

Locations

3550 Lexington Ave N
Ste 210
Shoreview, MN 55126
Phone (651) 308-2917

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1175644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1541635200000",
    "number": "1730201435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3550 LEXINGTON AVE N",
            "address_2": "STE 210",
            "city": "SHOREVIEW",
            "state": "MN",
            "postal_code": "551268092",
            "telephone_number": "651-486-3811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1050 COUNTY ROAD E. WEST",
            "city": "SHOREVIEW",
            "state": "MN",
            "postal_code": "551268022",
            "telephone_number": "651-484-8448",
            "fax_number": "651-484-2066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUKOVSKY",
        "first_name": "LORI",
        "middle_name": "DARLENE",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-04",
        "last_updated": "2018-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "3899",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "82D42LU",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LORI",
            "last_name": "NORRIS",
            "middle_name": "DARLENE",
            "credential": "DC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Shoreview, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.