Individual
DR. PAUL ANTHONY LUKAWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
23909 W RENWICK RD, SUITE 111, PLAINFIELD, IL 60544-2108
(815) 439-8500
(815) 439-9214
Mailing address
23909 W RENWICK RD, SUITE 111, PLAINFIELD, IL 60544-2108
(815) 439-8500
(815) 439-9214
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019-021736
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
364381069
TAX ID
—
Enumeration date
07/14/2008
Last updated
07/14/2008
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