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 |
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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 |
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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 |
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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 |
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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 |
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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 |