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Individual

MARGARET ANN LAYCOCK

Active
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Individual

MARGARET ANN LAYCOCK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
01040251A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000260431
ANTHEM PROVIDER NUMBER
IN
05
100217120
IN
01
10783741
CAQH NUMBER
IN
01
249500
PHCS PID NUMBER
IN
Enumeration date
03/14/2006
Last updated
09/30/2008
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