AMANDA LEA LUKES D.C. - NPI 1770928921 - Chiropractor in Bemidji, MN

Q: What is the provider's specialty?

The provider's specialty is Chiropractor with taxonomy code 111N00000X.

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About Amanda Lea Lukes D.c. NPPES

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

AMANDA LEA LUKES D.C. (NPI 1770928921) is an individual chiropractor in Bemidji, Minnesota, licensed in Minnesota (5793) and active in the NPI registry since May 2013. She is a graduate of Other (2013).

NPPES Registry Identity

NPI1770928921

Entity TypeIndividualFemale

Primary Taxonomy111N00000X

Provider Legal NameAMANDA LEA LUKESCredential: D.C.

Location Address3620 BEMIDJI AVE NBemidji, MN 56601-4487

Mailing Address3620 Bemidji Ave NBemidji, MN 56601-4487 · (218) 751-5145 · Fax (218) 444-2480

Phone(218) 751-5145

Fax(218) 444-2480

Sole ProprietorNo

Medical School CMSOtherGraduated 2013

Enumeration DateMay 1, 2013

Last NPPES UpdateFebruary 20, 2014

✔ NPI 1770928921 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers

Taxonomy Code111N00000X

License✔ Licensed in MN · 5793

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.

3620 BEMIDJI AVE N, Bemidji, MN 56601

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Other Names 1

Other Name (5)Amanda Lea Johnson D.c.

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HealthPartners.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Amanda Lea Lukes D.c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2860630936

PECOS Enrollment IDI20130531000071

Other Providers at the Same Location NPPES 6

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

ROBERT S JOHNSON CHIROPRACTIC LTD

Chiropractor