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MARY MORA MD NPI 1083723977


NPI Information

NPI: 1083723977
Provider Name: MARY MORA, MD
Classification: Pediatrics - 208000000X
Entity Type: Individual
Address:
3937 PATIENT CARE DR
LANSING, MI
ZIP 48911
Phone: (517) 394-6484
Get Directions

Mary Mora, MD is a pediatrics in Lansing, MI. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. Mary Mora, MD NPI is 1083723977. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

3937 PATIENT CARE DR
LANSING, MI
ZIP 48911
Phone: (517) 394-6484
Fax: (517) 394-7785

The enumeration date for this NPI number is 8/30/2006 and was last updated on 7/9/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208000000XPediatrics043750MICHIGANYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11200190OTHERMICHIGANPHP
2MM043750OTHERMICHIGANCOMMERCIAL
31270190OTHERMICHIGANCOMMERCIAL INSURANCE
40C313191OTHERMICHIGANBCN
5201963697OTHERMICHIGANCOMMERCIAL INS
6P58952OTHERMICHIGANBCN
74711314MEDICAIDMICHIGAN
85817732OTHERMICHIGANCOMMERCIAL
90C31319OTHERMICHIGANBCBS
10F05594MEDICARE UPINMICHIGAN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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