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Individual
DR. DAVID LAYCOCK
Active
Individual
DR. DAVID LAYCOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
12739
AL
2080A0000X
Pediatric Adolescent Medicine Physician
12739
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
011846
MEDICARE GROUP PAYEE NUMBER
AL
01
—
1063439065
NPI SITE GROUP PAYEE NUMBER
AL
05
—
631300001
—
AL
Enumeration date
06/24/2006
Last updated
10/28/2010
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