Individual
MR. PAUL LUKOWIAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
2146 E MARKLAND AVE, KOKOMO, IN 46901-6240
(765) 454-9748
(765) 454-9759
Mailing address
4027 S 1330 E, GREENTOWN, IN 46936-9774
(765) 628-7018
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05006820A
IN
2251P0200X
Pediatric Physical Therapist
05006820A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000375492
ANTHEM
IN
Enumeration date
02/22/2007
Last updated
09/11/2025
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