Individual
MS. KATHLEEN LUKASZEWICZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T., PH.D.
Contact information
Practice address
604 N 16TH ST, MILWAUKEE, WI 53233-2117
(414) 453-8616
(414) 453-6150
Mailing address
2849 N PIERCE ST, UNIT C, MILWAUKEE, WI 53212-2548
(414) 288-3382
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
10484-024
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
40463100
—
WI
Enumeration date
12/13/2006
Last updated
12/13/2012
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