Individual
DR. LAUREL J. LYCKHOLM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
200 HAWKINS DR, C21-GH, IOWA CITY, IA 52242-1009
(319) 467-5346
(319) 353-8383
Mailing address
200 HAWKINS DR, C21-GH, IOWA CITY, IA 52242-1009
(319) 467-5346
(804) 342-7619
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
27102
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6028888
—
VA
Enumeration date
10/13/2006
Last updated
04/08/2022
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