Tess Mary Lukowiak, MD is a
Dermatology - Mohs-micrographic Surgery physician based in Wyoming, Minnesota. Tess Mary Lukowiak is licensed to practice in Minnesota (license number 79809) and her current practice location is 5200 Fairview Blvd, Wyoming, Minnesota. She can be reached at her office (for appointments etc.) via phone at
(612) 625-5656.
NPI number for Tess Mary Lukowiak is 1124606074 and her current mailing address is 5200 Fairview Blvd, Wyoming, Minnesota. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1124606074.
Physician's Profile
| Full Name | Tess Mary Lukowiak |
|---|
| Gender | Female |
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| Speciality | Dermatology - Mohs-micrographic Surgery |
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| Location | 5200 Fairview Blvd, Wyoming, Minnesota |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1124606074
- Provider Enumeration Date: 03/31/2021
- Last Update Date: 06/12/2026
Medical Identifiers
Medical identifiers for Tess Mary Lukowiak such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1124606074 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 207ND0101X | Dermatology - Mohs-micrographic Surgery | 79809 (Minnesota) | Primary |
| 207N00000X | Dermatology | 79809 (Minnesota) | Secondary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Tess Mary Lukowiak is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Tess Mary Lukowiak, MD 5200 Fairview Blvd, Wyoming, MN 55092-8013 Ph: () - | Tess Mary Lukowiak, MD 5200 Fairview Blvd, Wyoming, MN 55092-8013 Ph: (612) 625-5656 |
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