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LUCY ANN GUSTAFSON DC
NPI 1063281210
Chiropractor in Shoreview, MN

Active since December 29, 2023
470 HIGHWAY 96 W STE 130, SHOREVIEW, MN 55126(651) 252-1912 Get Directions Write a Review

NPPES record last updated: January 1, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Lucy Ann Gustafson Dc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LUCY ANN GUSTAFSON DC (NPI 1063281210) is an individual chiropractor in Shoreview, Minnesota, licensed in Minnesota (7163) and active in the NPI registry since December 2023.

NPPES Registry Identity

NPI1063281210
Entity TypeIndividualFemale
Primary Taxonomy111N00000X
Provider Legal NameLUCY ANN GUSTAFSONCredential: DC
Location Address470 HIGHWAY 96 W STE 130Shoreview, MN 55126-1996
Mailing Address470 Highway 96 W Ste 130Shoreview, MN 55126-1996 · (651) 252-1912
Phone(651) 252-1912
Sole ProprietorNo
Enumeration DateDecember 29, 2023
Last NPPES UpdateJanuary 1, 2025
NPPES CertifiedJanuary 1, 2025
✔ NPI 1063281210 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in MN · 7163
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
470 HIGHWAY 96 W STE 130, Shoreview, MN 55126
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Other Names 1

Former Name (1)Lucy Ann Koch

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. GRETCHEN ELIZABETH RACHUY DC
Chiropractor
470 HIGHWAY 96 W STE 130
SHOREVIEW, MN 55126
Ramsey County (612) 363-1847
DR. STEPHANIE FRANCES MASEK DC
Chiropractor (Pediatric Chiropractor)
470 HIGHWAY 96 W STE 130
SHOREVIEW, MN 55126
Ramsey County (651) 252-1912
AYLA JO COLE DC
Chiropractor
470 HIGHWAY 96 W STE 130
SHOREVIEW, MN 55126
Ramsey County (651) 252-1912

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lucy Gustafson's NPI number?

The NPI number for Lucy Gustafson is 1063281210. It was assigned to this individual provider in the NPPES registry on December 29, 2023. The provider is also known as Lucy Ann Koch.

Where is Lucy Gustafson located?

Lucy Gustafson practices at 470 Highway 96 W Ste 130, Shoreview, MN 55126. The listed phone number is (651) 252-1912.

What is Lucy Gustafson's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

When was this NPI record last updated?

The NPPES record for Lucy Gustafson was last updated on January 1, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.