P.L. Lukovsky Chiropractic Clinic P.a.

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

P.L. LUKOVSKY CHIROPRACTIC CLINIC P.A.

Doing business as

Lukovsky Chiropractic Clinic

Practice address

5602 Grand Ave
Duluth, MN 55807-2540

Phone

(218) 624-5751

Fax

(218) 624-5752

NPI assigned

Nov 9, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Steven Lukovsky, D.C.NPI 1316082613

Title

Vice President

Phone

(218) 624-5751

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Lukovsky Chiropractic Clinic Doing business as

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Steven Nicholas Lukovsky, D.C.

  • Chiropractor
  • Duluth, MN
  • NPI 1316082613
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1194566400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194566400000",
    "number": "1922288612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5602 GRAND AVE",
            "city": "DULUTH",
            "state": "MN",
            "postal_code": "558072540",
            "telephone_number": "218-624-5751",
            "fax_number": "218-624-5752"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5602 GRAND AVE",
            "city": "DULUTH",
            "state": "MN",
            "postal_code": "558072540",
            "telephone_number": "218-624-5751",
            "fax_number": "218-624-5752"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "P.L. LUKOVSKY CHIROPRACTIC CLINIC P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-09",
        "last_updated": "2007-11-09",
        "status": "A",
        "authorized_official_last_name": "LUKOVSKY",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "218-624-5751",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "69470LU",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "C08041",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lukovsky Chiropractic Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Chiropractor in Duluth, MN
• Providers in Duluth, MN by specialty
• Chiropractor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.