Provider Demographics
NPI:1891989422
Name:LUKASEWYCZ, STEPHEN J (MD)
Entity Type:Individual
Prefix:DR
First Name:STEPHEN
Middle Name:J
Last Name:LUKASEWYCZ
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Gender:M
Credentials:MD
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Mailing Address - Street 1:8170 33RD AVE S
Mailing Address - Street 2:MS21110Q
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55425-4516
Mailing Address - Country:US
Mailing Address - Phone:952-883-5375
Mailing Address - Fax:651-254-8504
Practice Address - Street 1:435 PHALEN BLVD - MS 51103C
Practice Address - Street 2:HEALTHPARTNERS SPECIALTY CENTER 435
Practice Address - City:ST. PAUL
Practice Address - State:MN
Practice Address - Zip Code:55130-5302
Practice Address - Country:US
Practice Address - Phone:651-254-8500
Practice Address - Fax:651-254-8504
Is Sole Proprietor?:No
Enumeration Date:2007-08-27
Last Update Date:2011-12-07
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Provider Licenses
StateLicense IDTaxonomies
MNN/A208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology