Individual
DAWN MARIE LUKOWITZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
616 JACOBSON AVE, MADISON, WI 53714-1535
(608) 712-0868
Mailing address
616 JACOBSON AVE, MADISON, WI 53714-1535
(608) 712-0868
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
311647-31
WI
Other
Enumeration date
07/27/2009
Last updated
07/27/2009
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