Lauren Moody
Nurse Practitioner, Family in Washington, DC. Individual provider (NPI-1).
NPI number1558094474
StatusActive
Last updated in NPPESOct 18, 2022
Details
- NPI
- 1558094474
- Entity type
- Individual (NPI-1)
- Name
- Ms. Lauren Moody
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 7, 2022
- Certification date
- Oct 17, 2022
- Last updated
- Oct 18, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | R232780 | MD | Yes |
Practice location
1331 H St Nw Fl 11Washington, DC 20005-4706
Phone 301-906-1861
Mailing address
916 Lake Shore DrBowie, MD 20721-2906
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