Individual
DR. LAWRENCE M KULLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
851 MAIN ST, SUITE 11, SOUTH WEYMOUTH, MA 02190-1612
(781) 331-4923
Mailing address
32 MASON RD, NEWTON, MA 02459-1506
(617) 244-2007
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
45807
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9734643
—
MA
Enumeration date
04/13/2006
Last updated
06/19/2008
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