Moore, Bonny Lauren

Moore, Bonny Lauren is an individual health care provider with primary practice located at 4501 Empire Ct , Fredericksburg VA 22408-1949. She recently has only one registered license in Allopathic & Osteopathic Physicians / Hematology & Oncology, which is considered as her primary health care specialty. Moore, Bonny Lauren can be contacted via phone (540) 371-0079.

Contact Information

Primary practice address
4501 Empire Ct Fredericksburg VA 22408-1949
Phone: (540) 371-0079
Fax: (540) 656-2653
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X 0101249938 Virginia

Profile Details

NPI number 1902048051
LBN Legal business name Moore, Bonny Lauren
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 2nd, 2009
Last updated Jul 21st, 2023 - about 2 years ago

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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1902048051 NPPES
Virginia MEDICAID 1902048051

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