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Dr. Lawrence Nycum

Obstetrics & Gynecology, Gynecologic Oncology in Winston Salem, NC. Individual provider (NPI-1).

NPI number1114997285
StatusActive
Last updated in NPPESOct 29, 2020

Details

NPI
1114997285
Entity type
Individual (NPI-1)
Name
Dr. Lawrence Nycum
Sex
Male
Sole proprietor
No
Enumeration date
Jan 23, 2006
Certification date
Oct 29, 2020
Last updated
Oct 29, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207VX0201X Obstetrics & Gynecology, Gynecologic Oncology9501622NCYes

Practice location

1010 Bethesda Ct
Winston Salem, NC 27103-3019

Phone 336-277-8800 · Fax 336-277-8850

Mailing address

Po Box 75216
Charlotte, NC 28275-0216

Phone 336-718-7080 · Fax 336-718-9622

Other practice locations

1701 E 3rd St
Charlotte, NC 28204-3203

Phone 336-718-4782

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