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Individual
DR. LAWRENCE NYCUM
Active
Individual
DR. LAWRENCE NYCUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
207VX0201X
Gynecologic Oncology Physician
Primary
9501622
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
006005560
—
VA
01
—
0700782
UNITED HEALTHCARE
—
01
—
132A9
BLUE CROSS BLUE SHIELD
NC
01
—
3098889
AETNA HMO
—
01
—
7627370
AETNA PPO
—
01
—
800220
PARTNERS NATIONAL HEALTH
NC
05
—
89132A9
—
NC
01
—
B8416
MEDCOST
—
01
—
P00031287
RAILROAD MEDICARE
—
Enumeration date
01/23/2006
Last updated
10/29/2020
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