MEDICARE: DR. DAVID ERIC LUKOWSKI M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207X00000X	Orthopaedic Surgery Physician	33267	SC
2	207XS0106X	Orthopaedic Hand Surgery Physician	2009-01608	NC
3	2086S0105X	Surgery of the Hand (Surgery) Physician	33267	SC

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	AA69768552	OTHER	SC	MEDICARE PTAN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	242628	OTHER	SC	MEDCOST
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1871793471
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DAVID ERIC LUKOWSKI M.D.

Provider Business Mailing Address
First Line	:	PO BOX 3239
Second Line	:
City	:	FLORENCE
State	:	SC
Zip	:	29502-3239
Country	:	US
Telephone Number	:	843-390-0100
Fax Number	:	843-390-0038

Provider Business Practice Location Address
First Line	:	3793 MCDOWELL LN STE 100
Second Line	:
City	:	LITTLE RIVER
State	:	SC
Zip	:	29566-7892
Country	:	US
Telephone Number	:	843-390-0100
Fax Number	:	843-390-0038

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/21/2007
Last Update Date	:	11/14/2024

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Directions to “ DR. DAVID ERIC LUKOWSKI M.D.” Practice Location

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