Individual
DR. JOHN J LUKASIEWICZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
15821 W DODGE RD, SUITE 164, OMAHA, NE 68118-2048
(402) 571-7663
(402) 571-7665
Mailing address
15821 W DODGE RD, SUITE 164, OMAHA, NE 68118-2048
(402) 571-7663
(402) 571-7665
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1069
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
09564
BLUE CROSS/ BLUE SHIELD
NE
05
—
47081028200
—
NE
Enumeration date
07/20/2006
Last updated
07/08/2007
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