Moak, Lauren Elise
Moak, Lauren Elise is an individual health care provider with primary practice located at 220 Barton Blvd Unit C-14 , Rockledge FL 32955-2742. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Moak, Lauren Elise can be contacted via phone (321) 241-6800.Contact Information
Primary practice address
220 Barton Blvd Unit C-14
Rockledge FL 32955-2742
Phone: (321) 241-6800
Fax: (321) 241-6890
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | ME143008 | Florida |
Profile Details
NPI number | 1073990503 |
---|---|
LBN Legal business name | Moak, Lauren Elise |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | May 5th, 2015 |
Last updated | Aug 3rd, 2023 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1073990503 | NPPES |
Florida | MEDICAID | 106029300 |
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