Individual
LAWRENCE JOSEPH KUKLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
150 MERCY DR, DUBUQUE, IA 52001-7301
(563) 584-3480
(563) 584-3481
Mailing address
150 MERCY DR, DUBUQUE, IA 52001-7301
(563) 584-3480
(563) 584-3481
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
036-05398
IA
207RH0003X
Hematology & Oncology Physician
Primary
24645
IA
207RH0003X
Hematology & Oncology Physician
26579
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0223347
—
IA
Enumeration date
05/16/2006
Last updated
06/11/2020
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