Moore, Lauren Elizabeth

Moore, Lauren Elizabeth is an individual health care provider with primary practice located at 111 Elwyn Rd , Media PA 19063-4622. She recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as her primary health care specialty. Moore, Lauren Elizabeth can be contacted via phone (610) 891-2324.

Contact Information

Primary practice address
111 Elwyn Rd Media PA 19063-4622
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X MD474256 Pennsylvania

Profile Details

NPI number 1588907125
LBN Legal business name Moore, Lauren Elizabeth
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 2nd, 2013
Last updated Aug 10th, 2022 - 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 1588907125 NPPES
Pennsylvania MEDICAID 103908891001

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