Individual
LAWRENCE G HUNSICKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
200 HAWKINS DR, IOWA CITY, IA 52242-1009
(319) 356-4763
Mailing address
200 HAWKINS DR, IOWA CITY, IA 52242-1009
(319) 356-4763
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
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