Provider Demographics
NPI:1366481764
Name:CURYLO, LUKASZ J (MD)
Entity Type:Individual
Prefix:DR
First Name:LUKASZ
Middle Name:J
Last Name:CURYLO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:PO BOX 31218
Mailing Address - Street 2:
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63131-0218
Mailing Address - Country:US
Mailing Address - Phone:314-690-8383
Mailing Address - Fax:314-582-1022
Practice Address - Street 1:621 S NEW BALLAS RD STE 589A
Practice Address - Street 2:
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63141
Practice Address - Country:US
Practice Address - Phone:314-690-8383
Practice Address - Fax:314-582-1022
Is Sole Proprietor?:No
Enumeration Date:2006-06-04
Last Update Date:2018-07-01
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MO2003011625207X00000X, 207XS0117X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207XS0117XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryOrthopaedic Surgery of the Spine
No207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO209159805Medicaid
MO7163354OtherAETNA
MO209159805Medicaid
MO561509OtherHEALTHLINK
MO0901459OtherUNITED HEALTH CARE
MO180926OtherBLUE CROSS BLUE SHIELD
MOP00046757OtherRAILROAD MEDICARE
MO6164908002OtherCIGNA
MO561509OtherHEALTHLINK
MO209159805Medicaid