institution
Lacyoni Moraes, Md, Pc
Medical Specialty Clinic/Center in Abingdon, Virginia
NPI 1235110677

Lacyoni Moraes, Md, Pc is a Medical Specialty Clinic/Center based in Abingdon, VA and is specialized in Medical Specialty. Lacyoni Moraes, Md, Pc practices in Abingdon, VA. The NPI Number for Lacyoni Moraes, Md, Pc is 1235110677 and holds a License No. 0101225620 (Virginia).

The current practice location address for Lacyoni Moraes, Md, Pc is 390 Commerce Dr, Abingdon, VA and can be reached out via phone at 276-676-2211 and via fax at 276-676-0966.

Location: 390 Commerce Dr, Abingdon, VA, 24211-3876
institution
Provider Profile Details
NPI Number
1235110677
Provider Name
Lacyoni Moraes, Md, Pc
Credential
Provider Entity Type
Organization
Address
390 Commerce Dr, Abingdon, VA, 24211-3876
Phone Number
276-676-2211
Fax Number
276-676-0966
Provider Enumeration Date
11/11/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
461930 01 VA ANTHEM GROUP
P00055669 01 VA RR MEDICARE
institution
Provider Business Practice Location Address Details
Address
390 Commerce Dr
City
State
Zip
24211-3876
Phone Number
276-676-2211
Fax Number
276-676-0966
person
Provider Business Mailing Address Details
Address
390 Commerce Dr
City
State
Zip
24211-3876
Phone Number
276-676-2211
Fax Number
276-676-0966
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Medical Specialty
Taxonomy
License No.
0101225620 (Virginia)
Definition
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).
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