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Laura Loomer Moylan, M.D.

Specialist in Salem, VA. Individual provider (NPI-1).

NPI number1235192527
StatusActive
Last updated in NPPESOct 22, 2010

Details

NPI
1235192527
Entity type
Individual (NPI-1)
Name
Laura Loomer Moylan
Credential
M.D.
Sex
Female
Sole proprietor
Yes
Enumeration date
Apr 9, 2006
Last updated
Oct 22, 2010

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
174400000X Specialist0101044609VAYes

Practice location

1930 Braeburn Dr
Suite B
Salem, VA 24153-7391

Phone 540-776-6800 · Fax 540-776-2919

Mailing address

6008 Cavalier Dr
Roanoke, VA 24018-3880

Phone 540-772-6920

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