| Dr Yuven Sabastian Lukong, DNP | |
| 
					464 2nd St Ste 204, Excelsior, MN 55331-2015  | |
| (612) 787-8408 | |
| (612) 567-8935 | 
| Full Name | Dr Yuven Sabastian Lukong | 
|---|---|
| Gender | Male | 
| Speciality | Nurse Practitioner - Family | 
| Location | 464 2nd St Ste 204, Excelsior, Minnesota | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1649883471 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 7695 (Minnesota) | Primary | 
| Entity Name | Rehabilitation Medicine Associates Llc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1093103145 PECOS PAC ID: 9335465558 Enrollment ID: O20150306000534  | 
| Entity Name | Signify Health Medical Associates Pllc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1750845863 PECOS PAC ID: 2163764424 Enrollment ID: O20200116002549  | 
| Entity Name | Allina Health System | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1457657249 PECOS PAC ID: 4587573613 Enrollment ID: O20221213001713  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Dr Yuven Sabastian Lukong, DNP 10294 Goodview Cir S, Cottage Grove, MN 55016-6069 Ph: (608) 498-7626  | Dr Yuven Sabastian Lukong, DNP 464 2nd St Ste 204, Excelsior, MN 55331-2015 Ph: (612) 787-8408  | 
Ms. Kara M Hutton, APRN, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 675 Water St, Excelsior, MN 55331 Phone: 952-906-7855 Fax: 952-470-4523  | |
Irene Enjema Ekobena, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 464 2nd St Ste 204, Excelsior, MN 55331 Phone: 612-787-8408 Fax: 612-567-8935  | |
Mai Moua Vang, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 470 Water St, Excelsior, MN 55331 Phone: 952-442-6950 Fax: 952-955-6276  | |
Eleanor Johnson, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 515 Division St, Excelsior, MN 55331 Phone: 952-474-5488  | |
Mr. Andrew Kern Rosdhal, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 23505 Smithtown Rd Ste 110, Excelsior, MN 55331 Phone: 763-458-9494  | |
Kayla Lynn Parker, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 23505 Smithtown Rd Ste 110, Excelsior, MN 55331 Phone: 763-458-9494 Fax: 763-647-2477  |