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Organization

LAURIE A. KUKAS, D. O. FAAP

Active
Organization subpart
No

Provider details

NPI number
Authorized official
BARRY A CHARLES (OFFICE MANAGER)
(405) 528-0303
Entity
Organization

Contact information

Practice address
1024 NW 47TH ST, STE A, OKLAHOMA CITY, OK 73118-6400
(405) 528-0303
Mailing address
1024 NW 47TH ST, STE A, OKLAHOMA CITY, OK 73118-6400

Taxonomy

Speciality
Code
Description
License number
State
2080P0006X
Developmental - Behavioral Pediatrics Physician
Primary

Other

Enumeration date
06/29/2010
Last updated
06/29/2010
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