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Dr. Thomas William Lycan JR., DO
Hematology & Oncology Physician in Winston Salem, North Carolina
NPI 1558627794

Thomas William Lycan JR. is a Hematology & Oncology Physician based in Winston Salem, NC and is specialized in Hematology & Oncology. Thomas William Lycan JR. practices in Winston Salem, NC and has the professional credentials of DO. The NPI Number for Thomas William Lycan JR. is 1558627794 and holds a License No. (North Carolina).

The current practice location address for Thomas William Lycan JR. is Wake Forest Medical Center, Winston Salem, NC and can be reached out via phone at 336-716-2011.

Location: Wake Forest Medical Center, Winston Salem, NC, 27157-0001
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1558627794
Provider Name
Thomas William Lycan JR.
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
Wake Forest Medical Center, Winston Salem, NC, 27157-0001
Phone Number
336-716-2011
Fax Number
Provider Enumeration Date
04/02/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
Wake Forest Medical Center
City
Winston Salem
State
North Carolina
Zip
27157
Phone Number
336-716-2011
Fax Number
person
Provider Business Mailing Address Details
Address
Wake Forest Medical Center
City
Winston Salem
State
North Carolina
Zip
27157
Phone Number
336-716-2011
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
Hematology & Oncology
Taxonomy
207RH0003X
License No.
2018-01240 (North Carolina)
Definition
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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