Lukowski, Jessica P

Lukowski, Jessica P is an individual health care provider with primary practice located at 8004 Myrtle Trace Dr , Conway SC 29526-8945. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as her primary health care specialty. Lukowski, Jessica P can be contacted via phone (843) 347-7216.

Contact Information

Primary practice address
8004 Myrtle Trace Dr Conway SC 29526-8945
Phone: (843) 347-7216
Fax: (843) 347-7218
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 33698 South Carolina

Profile Details

NPI number 1558556258
LBN Legal business name Lukowski, Jessica P
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 6th, 2007
Last updated Oct 5th, 2016 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1558556258 NPPES
South Carolina MEDICAID 336988
South Carolina MEDICAID GP4505

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