DR. YUVEN SABASTIAN LUKONG DNP NPI 1649883471

NPI Information

  • NPI: 1649883471
  • Provider Name: DR. YUVEN SABASTIAN LUKONG, DNP
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 464 2ND ST STE 204
    EXCELSIOR, MN
    ZIP 55331
  • Phone: (612) 787-8408

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NPI Details

DR. Yuven Sabastian Lukong, DNP is a family nurse practitioner in Excelsior, MN with 5 years of experience. DR. Yuven Sabastian Lukong, DNP NPI is 1649883471. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

464 2ND ST STE 204
EXCELSIOR, MN
ZIP 55331-015
Phone: (612) 787-8408
Fax: (612) 567-8935

The NPI 1649883471 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 8/31/2020 and was last updated on 2/18/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LF0000XNurse PractitionerFamily7695MINNESOTAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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