Individual
LAWRENCE FITZGERALD KUKLINSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2020 SANTA MONICA BLVD STE 510, SANTA MONICA, CA 90404-2131
(310) 917-3376
(310) 582-6302
Mailing address
5767 W CENTURY BLVD SUITE 400, LOS ANGELES, CA 90095-5631
(310) 301-8707
(310) 301-8752
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
A159152
CA
Other
Enumeration date
04/26/2017
Last updated
06/29/2022
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