Provider Demographics
NPI:1578748307
Name:LUING, ANDREW ERIC (DC)
Entity Type:Individual
Prefix:DR
First Name:ANDREW
Middle Name:ERIC
Last Name:LUING
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 1:4739 COUNTY ROAD 101
Mailing Address - Street 2:
Mailing Address - City:MINNETONKA
Mailing Address - State:MN
Mailing Address - Zip Code:55345-2634
Mailing Address - Country:US
Mailing Address - Phone:952-933-2695
Mailing Address - Fax:952-933-2763
Practice Address - Street 1:4739 COUNTY ROAD 101
Practice Address - Street 2:
Practice Address - City:MINNETONKA
Practice Address - State:MN
Practice Address - Zip Code:55345-2634
Practice Address - Country:US
Practice Address - Phone:952-933-2695
Practice Address - Fax:952-933-2763
Is Sole Proprietor?:Yes
Enumeration Date:2007-12-28
Last Update Date:2008-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN3475111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN6C438LUOtherBLUE CROSS BLUE SHEILD