Moore, Lacey Floyd
Moore, Lacey Floyd is an individual health care provider with primary practice located at 30 Memorial Dr , Pinehurst NC 28374-8707. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Moore, Lacey Floyd can be contacted via phone (910) 295-4400.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 2008-00189 | North Carolina |
Profile Details
| NPI number | 1821071101 |
|---|---|
| LBN Legal business name | Moore, Lacey Floyd |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 21st, 2005 |
| Last updated | Aug 30th, 2011 - about 13 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1821071101 | NPPES |
| North Carolina | MEDICAID | 5909323 | |
| North Carolina | Other | 1821071101 |
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