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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

LARRY DEAN NYCUM SR.

Active Sole Proprietor

LARRY DEAN NYCUM SR. is a Private Vehicle healthcare provider located in MILLBORO, Virginia. NPI 1952893315 is currently active in the NPPES registry. Verify at CMS.

Private Vehicle · MILLBORO, VA

Registration Details

NPI Number
1952893315
Provider Type
Individual
Gender
Male
NPI Issued
Jun 1, 2018 (8.0219804023639 yrs)
Last Updated
Jun 1, 2018
Sole Proprietor
Yes

Practice Information

Address
5918 COWPASTURE RIVER HWY
MILLBORO, VA, 244602490
Browse VA providers · Browse ZIP 24460
Phone
5404600869
Primary Specialty
Private Vehicle
347C00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.