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Individual

LARA REBECCA HUME

Active
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Individual

LARA REBECCA HUME

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
9901548
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
030455058
CRESENT
01
0401746
UNITED HEALTHCARE
01
110245214
RR MEDICARE
01
12586
BCBS
NC
01
5435417002
CIGNA HEALTHCARE
05
8912486
NC
01
C3416
MEDCOST
05
N01549
SC
01
VAD000
VA UPIN
Enumeration date
01/04/2006
Last updated
06/03/2013
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