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Individual

LAWRENCE P. SHOMBERT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
12500 WILLOWBROOK RD DEPT OF, CUMBERLAND, MD 21502-6393
(240) 964-1400
(240) 964-1490
Mailing address
12500 WILLOWBROOK RD DEPT OF, CUMBERLAND, MD 21502-6393
(240) 964-1400
(240) 964-1490

Taxonomy

Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
042.0016222
VT
2085R0001X
Radiation Oncology Physician
Primary
D43914
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0001
BCBS DC
MD
05
038445300
DC
05
213391100
MD
05
3810019575
WV
01
5273
ELDER HEALTH PROVIDER #
MD
01
529810-09
BCBS MD
MD
01
52981008
CARE FIRST BCBS PROV. #
MD
01
6882-0001
CAREFIRST BCBS- DC
MD
01
P00441743
RAILROAD MEDICARE #
MD
01
P00458397
RAILROAD MEDICARE
MD
01
P00894865
RAILROAD MEDICARE
WV
Enumeration date
11/16/2005
Last updated
05/04/2026
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