Moeller, Loralie Davis
Moeller, Loralie Davis is an individual health care provider with primary practice located at 90 Health Park Drive 290, Louisville CO 80027-9586. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as her primary health care specialty. Moeller, Loralie Davis can be contacted via phone (303) 439-8910.Contact Information
Primary practice address
90 Health Park Drive 290
Louisville CO 80027-9586
Phone: (303) 439-8910
Fax: (303) 439-9134
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | 31858 | Colorado |
Profile Details
NPI number | 1174563878 |
---|---|
LBN Legal business name | Moeller, Loralie Davis |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 8th, 2006 |
Last updated | Sep 25th, 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 | 1174563878 | NPPES |
Colorado | MEDICAID | 46155333 | |
Colorado | Other | C808245 |
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