ALICE M LUKNIC (NPI# 1598798191) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598798191 |
| Entity Type | Individual |
| Full Name | ALICE M LUKNIC |
| Credential | MD |
| Practice Address |
200 State Ave Faribault MN 55021 |
| Mailing Address |
Po Box 43 Mr 10202 Minneapolis MN 55440-0043 |
| Practice Telephone | 5073346451 |
| Mailing Telephone | 6122621166 |
| Mailing Fax Number | 6122624258 |
| Enumeration Date | 2006-07-08 |
| Last Update Date | 2019-10-31 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RH0000X |
Internal Medicine Specialization: Hematology |
66448 | MN | Allopathic & Osteopathic Physicians |
| N | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
33084 | CO | Allopathic & Osteopathic Physicians |
| Y | 207RX0202X |
Internal Medicine Specialization: Medical Oncology |
66448 | MN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | 01330844 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1825 Marion St, Denver, CO 802181122 | 3033183434 | 3033183400 |
| Street Address |
200 STATE AVE |
| City | FARIBAULT |
| State | MN |
| Zip Code | 55021 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477529485 | Charles Richard Boyle | Nurse Anesthetist, Certified Registered | 200 State Ave, Faribault, MN 55021-6339 | 2006-02-28 |
| 1922535178 | Allina Health System | Clinic/Center | 200 State Ave, Faribault, MN 55021-6339 | 2017-05-18 |
| 1457806507 | Jennie Torola | Nurse Anesthetist, Certified Registered | 200 State Ave, Faribault, MN 55021-6339 | 2016-08-18 |
| 1518321488 | Sarah Edwards | Social Worker | 200 State Ave, Faribault, MN 55021-6339 | 2016-04-07 |
| 1457726853 | Allina Health System | Nurse Anesthetist, Certified Registered | 200 State Ave, Faribault, MN 55021-6339 | 2015-12-10 |
| 1346647013 | Michael Jeffrey Muehlenbein | Registered Nurse | 200 State Ave, Faribault, MN 55021-6339 | 2014-11-24 |
| 1275947293 | Elizabeth Fetzer | Obstetrics & Gynecology | 200 State Ave, Faribault, MN 55021 | 2014-06-18 |
| 1154741577 | Allina Health System | General Acute Care Hospital | 200 State Ave, Faribault, MN 55021-6339 | 2014-04-24 |
| 1063832475 | Allina Health System | Anesthesiology | 200 State Ave, Faribault, MN 55021-6339 | 2014-04-24 |
| 1073933495 | Allina Health System | Hospice Care, Community Based | 200 State Ave, Faribault, MN 55021-6339 | 2014-04-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548872831 | Kent William Lundstrom | Pharmacist | 612 4th Street Nw, Faribault, MN 55021 | 2020-08-19 |
| 1053957357 | M&t Sisters of Serendipity Pllc | Counselor | 212a Centralave, Faribault, MN 55021 | 2019-11-21 |
| 1639720485 | Reliable Medical Supply LLC | Durable Medical Equipment & Medical Supplies | 200 8th Avenue Nw, Faribault, MN 55021 | 2019-09-24 |
| 1235663428 | Tanya Borchert | Social Worker | 100 State Avenue, Faribault, MN 55021 | 2017-04-14 |
| 1235589854 | Bashir Omar I | Interpreter | 2426 Park Ave # 309, Faribault, MN 55021 | 2016-06-14 |
| 1790150381 | Rainbow United Care Transportation LLC | Non-emergency Medical Transport (VAN) | 1738 Patrick Bay, Faribault, MN 55021 | 2015-12-08 |
| 1740625938 | Steven James Klapmeier | Family Medicine | 1101 Linden Lane, Mcfffrb Health Service, Faribault, MN 55021 | 2013-05-02 |
| 1528306040 | Discovery Public School of Faribault | Local Education Agency (LEA) | 126 8th St. Nw, Faribault, MN 55021 | 2013-01-17 |
| 1164790374 | Emmanuel Douah | Pharmacist | 612 4th Avenue Nw, Faribault, MN 55021 | 2011-12-02 |
| 1770873937 | Faribault Senior Living LLC | Assisted Living Facility | 843 Faribault Road, Faribault, MN 55021 | 2011-04-08 |
| Find all providers in zip 55021 | ||||
| Taxonomy Code | 207RX0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Medical Oncology |
| An internist who specializes in the diagnosis and treatment of all types of cancer and other benign and malignant tumors. This specialist decides on and administers therapy for these malignancies as well as consults with surgeons and radiotherapists on other treatments for cancer. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source. 11/5/2007: corrected definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093160368 | Lee Newcomer | Internal Medicine | 15011 Woods Edge, Minnetonka, MN 55345-2900 | 2016-04-25 |
| 1780879940 | Heather Christine Beckwith | Internal Medicine | 424 Harvard St Se Fl 1, Masonic Cancer Center, Minneapolis, MN 55455-0362 | 2007-09-11 |
| 1043423437 | Alexander A Levitan | Internal Medicine | 2051 Long Lake Road, New Brighton, MN 55112-5166 | 2007-05-08 |
| 1972690113 | Gail P. Bender, M.d.,p.a. | Internal Medicine | 6490 Excelsior Blvd Ste W106, St Louis Park, MN 55426-4741 | 2006-10-09 |
| 1083648075 | Amy K. Krie | Internal Medicine | 800 E 28th St Ste 404, Minneapolis, MN 55407-3723 | 2006-07-10 |
| 1255300885 | Nicole L Hartung | Internal Medicine | 110105 Pioneer Trl W Ste 302, Chaska, MN 55318-2680 | 2006-03-16 |
| 1063481190 | Thomas P Ducker | Internal Medicine | 345 Sherman St, Ste 100, Saint Paul, MN 55102-2401 | 2006-03-14 |
| 1346213097 | Bret Edward Buckley Friday | Internal Medicine | 400 East 3rd St, Duluth, MN 55805 | 2006-02-10 |
| 1922083336 | Joseph W Leach | Internal Medicine | 910 E 26th Street #200, Minnesota Oncology Hematology Pa, Minneapolis, MN 55404 | 2005-12-08 |
| 1205827466 | Mark D Hauge | Internal Medicine | 601 W Chandler St, Arlington, MN 55307-2127 | 2005-11-04 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.