Provider Demographics
NPI:1699850826
Name:LUGINBILL, STEVEN R (DC)
Entity type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:R
Last Name:LUGINBILL
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:26273 2ND ST E
Mailing Address - Street 2:
Mailing Address - City:ZIMMERMAN
Mailing Address - State:MN
Mailing Address - Zip Code:55398
Mailing Address - Country:US
Mailing Address - Phone:763-856-9588
Mailing Address - Fax:763-856-9589
Practice Address - Street 1:26273 2ND ST E
Practice Address - Street 2:
Practice Address - City:ZIMMERMAN
Practice Address - State:MN
Practice Address - Zip Code:55398
Practice Address - Country:US
Practice Address - Phone:763-856-9588
Practice Address - Fax:763-856-9589
Is Sole Proprietor?:No
Enumeration Date:2006-10-26
Last Update Date:2008-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN1925111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
MNT39973Medicare UPIN