Individual
ZACHARY LEE LUKOWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1600 SW ARCHER RD, GAINESVILLE, FL 32610-3091
(352) 265-0301
Mailing address
PO BOX 100284, GAINESVILLE, FL 32610-0284
(352) 273-8778
(352) 273-7402
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
078790
GA
207W00000X
Ophthalmology Physician
Primary
ME124130
FL
207WX0107X
Retina Specialist (Ophthalmology) Physician
078790
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
014932800
—
FL
01
—
IE659Y
MEDICARE
FL
Enumeration date
05/12/2011
Last updated
11/21/2024
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