DR. LAUREN RACHEL MOO MD NPI 1871583930

NPI Information

NPI: 1871583930
Provider Name: DR. LAUREN RACHEL MOO, MD
Classification: Psychiatry & Neurology - 2084N0400X
Entity Type: Individual

Specialization: Neurology

PECOS Registration: Yes

Address:
15 PARKMAN ST
NEUROLOGY ASSOCIATES WAC 835
BOSTON, MA
ZIP 02114
Phone: (617) 726-5533
Get Directions

DR. Lauren Rachel Moo, MD is a neurology psychiatry neurology in Boston, MA with 29 years of experience. The provider is a Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. DR. Lauren Rachel Moo, MD NPI is 1871583930. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: TUFTS UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:1995

The provider's business location address is:

15 PARKMAN ST
NEUROLOGY ASSOCIATES WAC 835
BOSTON, MA
ZIP 02114-117
Phone: (617) 726-5533
Fax: (617) 726-6991

The NPI 1871583930 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 10/28/2005 and was last updated on 7/8/2007.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2084N0400X	Psychiatry & Neurology	Neurology	217314	MASSACHUSETTS	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	H62826	MEDICARE UPIN
2	2010194	MEDICAID	MASSACHUSETTS
3	A35495	MEDICARE ID-TYPE UNSPECIFIED	MASSACHUSETTS
4	J26226	OTHER	MASSACHUSETTS	BCBS MA
5	217314	OTHER	MASSACHUSETTS	TUFTS HEALTH PLAN

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: 4/28/2024

NPI Synchronization or Removal

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