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LACYONI MORAES MD PC NPI 1235110677


NPI Information

NPI: 1235110677
Provider Name: LACYONI MORAES, MD, PC

Doing Business As: ABINGDON HEART CARE AND PREVENTION

Classification: Clinic/Center - 261QM2500X
Entity Type: Organization

Specialization: Medical Specialty

Address:
390 COMMERCE DR
SUITE A
ABINGDON, VA
ZIP 24211
Phone: (276) 676-2211
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LACYONI MORAES, MD, PC is a medical specialty clinic center in Abingdon, VA. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). LACYONI MORAES, MD, PC NPI is 1235110677. The provider is registered as an organization entity type.
The provider Is Doing Business As Abingdon Heart Care And Prevention.

The provider's business location address is:

390 COMMERCE DR
SUITE A
ABINGDON, VA
ZIP 24211-876
Phone: (276) 676-2211
Fax: (276) 676-0966

The provider's authorized official is Lacyoni Moraes .
The authorized official title is Owner and has the following contact phone number (276) 676-2211.

The enumeration date for this NPI number is 11/11/2005 and was last updated on 10/25/2007.


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
1261QM2500XClinic/CenterMedical Specialty0101225620VIRGINIAYes

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
1C08753MEDICARE PINVIRGINIA
2P00055669OTHERVIRGINIARR MEDICARE
3461930OTHERVIRGINIAANTHEM GROUP

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

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