Provider Demographics
NPI:1821103326
Name:LUKOWICZ, DANIEL FRANCIS (MD)
Entity Type:Individual
Prefix:DR
First Name:DANIEL
Middle Name:FRANCIS
Last Name:LUKOWICZ
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:470 TOLL GATE ROAD,
Mailing Address - Street 2:SUITE 100
Mailing Address - City:WARWICK
Mailing Address - State:RI
Mailing Address - Zip Code:02886
Mailing Address - Country:US
Mailing Address - Phone:401-738-9000
Mailing Address - Fax:401-737-9962
Practice Address - Street 1:470 TOLL GATE ROAD,
Practice Address - Street 2:SUITE 100
Practice Address - City:WARWICK
Practice Address - State:RI
Practice Address - Zip Code:02886
Practice Address - Country:US
Practice Address - Phone:401-738-9000
Practice Address - Fax:401-737-9962
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-21
Last Update Date:2013-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RIMD05363207RH0000X
RI5363207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207RH0000XAllopathic & Osteopathic PhysiciansInternal MedicineHematology
Provider Identifiers
StateIdentifier IDID TypeIssuer
RI9001001Medicaid
RIC90101Medicare UPIN
RI119001001Medicare ID - Type Unspecified