Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgeon | 2003011625 | MO |
Y | 207XS0117X | Orthopaedic Spine Surgeon | 2003011625 | MO |
NPI | 1366481764 |
---|---|
Provider Name | Dr. Lukasz J Curylo |
First Address | Saint Louis, MO 63131-0218 |
Second Address | Saint Louis, MO 63141 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/06/2006 |
Last Update Date | 01/07/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
209159805 | (05) | MO |
H38836 | (02) |