IndividualActive
Laura Kukulski
NPI 1285101550 · Nurse Practitioner · Lyons, IL
Provider details
- NPI number
- 1285101550
- Entity type
- Individual
- Primary specialty
- Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Female
- Sole proprietor
- Yes
- License
- 209.018412 (IL)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
4101 1st Ave
Lyons, IL 60534-1028
Phone: (708) 447-6851
Approximate (ZIP-level) locationGet directions
Mailing address
12811 S Cedar Ln
Palos Heights, IL 60463-1916
Registry dates
- Enumerated
- 2018-10-25
- Last updated
- 2018-10-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.