Lawrence Joseph Kukla, M.D.

Primary specialty

Hematology & Oncology PhysicianTaxonomy code 207RH0003X

License

24645 Issued in IA

Practice address

150 Mercy Dr
Dubuque, IA 52001-7301

Phone

(563) 584-3480

Fax

(563) 584-3481

NPI assigned

May 16, 2006

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1147737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591833600000",
    "number": "1366493991",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 MERCY DR",
            "city": "DUBUQUE",
            "state": "IA",
            "postal_code": "520017301",
            "telephone_number": "563-584-3480",
            "fax_number": "563-584-3481"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 MERCY DR",
            "city": "DUBUQUE",
            "state": "IA",
            "postal_code": "520017301",
            "telephone_number": "563-584-3480",
            "fax_number": "563-584-3481"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUKLA",
        "first_name": "LAWRENCE",
        "middle_name": "JOSEPH",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-16",
        "last_updated": "2020-06-11",
        "certification_date": "2020-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "WI",
            "license": "26579",
            "primary": false
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "IA",
            "license": "036-05398",
            "primary": false
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "IA",
            "license": "24645",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0223347",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michael B Kuennen, MD
• Beverly Kueter, LISW
• Cortney M Kueter, PA
• Crystal Kueter
• Emily Claire Kuhl, MS, OTR
• Benjamin Kumor, M.D.
• Shiny Susan Kunjummen, MD
• Molly Justine Kunkel, PA-C
• Benjamin Kunz, PSY.D.
• Coreyne Lynne Kurjatko, CRNA

• All providers in Dubuque, IA
• Hematology & Oncology Physician in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.