Individual
TESS MARY LUKOWIAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
5200 FAIRVIEW BLVD, WYOMING, MN 55092-8013
(612) 625-5656
Mailing address
5200 FAIRVIEW BLVD, WYOMING, MN 55092-8013
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
79809
MN
207ND0101X
MOHS-Micrographic Surgery Physician
Primary
79809
MN
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/31/2021
Last updated
06/12/2026
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