Individual
DR. LAWRENCE JOSEPH KUK JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
520 W LINCOLN AVE, SUITE C, ADA, OH 45810-9466
(419) 634-4085
(419) 634-4022
Mailing address
520 W LINCOLN AVE, SUITE C, ADA, OH 45810-9466
(419) 634-4085
(419) 634-4022
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4772
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0752985
—
OH
01
—
341630037-00
BWC
OH
Enumeration date
02/15/2006
Last updated
05/13/2008
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