Individual
DR. JESSICA P LUKOWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2376 CYPRESS CIR STE 200, CONWAY, SC 29526-8994
(843) 347-7216
(843) 347-7218
Mailing address
300 SINGLETON RIDGE RD, CONWAY, SC 29526-9142
(843) 234-6842
(843) 234-6990
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
33698
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
336988
—
SC
05
—
GP4505
—
SC
05
—
PG0367
—
SC
05
—
PG2763
—
SC
05
—
PG3429
—
SC
Enumeration date
09/06/2007
Last updated
04/02/2026
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