Individual
LAWRENCE G HUNSICKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
20419
IA
207RN0300X
Nephrology Physician
Primary
20419
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0132837
—
IA
01
—
13283
WELLMARK BCBS
IA
Enumeration date
11/14/2005
Last updated
07/23/2009
Update your record
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