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Individual

LORANCE KENNEDY BUMGARNER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
OD

Contact information

Practice address
160 FOX HOLLOW, SPECTRUM FAMILY EYE CENTER SUITE 100, PINEHURST, NC 28374
(910) 692-3937
(910) 692-5908
Mailing address
160 FOX HOLLOW, SPECTRUM FAMILY EYE CENTER SUITE 100, PINEHURST, NC 28374
(910) 692-3937
(910) 692-5908

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1042
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
7909135
NC
01
9135
BCBS
Enumeration date
06/27/2006
Last updated
02/21/2008
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