Active NPI
Lori Darlene Lukovsky, DC
- Chiropractor
- Shoreview, MN
National Provider Identifier
1730201435
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 3899
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 82D42LU | Other | MN | BCBS |
Other names 1
- Lori Darlene Norris
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
Enrollment records 1
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
| License | State | Type | Specialty |
|---|---|---|---|
| 3899 | MN | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lifetree Chiropractic & Wellness, LLC | Chiropractor | Current | Accepting new patients |
| Integrated Chiropractic Services | Chiropractor | Past | 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.
-
- Chiropractor
- Shoreview, MN
- NPI 1871979245
-
- Chiropractor
- White Bear Lake, MN
- NPI 1538468293
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.