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Lakeysha Demar Moore
Prosthetic/Orthotic Supplier in Waldorf, Maryland
NPI 1467025361

Lakeysha Demar Moore is a Prosthetic/Orthotic Supplier based in Waldorf, MD. Lakeysha Demar Moore practices in Waldorf, MD. The NPI Number for Lakeysha Demar Moore is 1467025361 and holds a License No. (Maryland).

The current practice location address for Lakeysha Demar Moore is 5109 Rock Beauty Ct, Waldorf, MD and can be reached out via phone at 240-346-8178 and via fax at 240-607-7057. You can also correspond with Lakeysha Demar Moore through the mailing address at 5109 ROCK BEAUTY CT, WALDORF, MD - 20603-4789 (mailing address contact number: 240-346-8178).

Location: 5109 Rock Beauty Ct, Waldorf, MD, 20603-4789
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1467025361
Provider Name
Lakeysha Demar Moore
Credential
Provider Entity Type
Individual
Gender
Female
Address
5109 Rock Beauty Ct, Waldorf, MD, 20603-4789
Phone Number
240-346-8178
Fax Number
240-607-7057
Provider Enumeration Date
07/20/2021
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
NA 01 MD HAIR LOSS PRACTITIONER
institution
Provider Business Practice Location Address Details
Address
5109 Rock Beauty Ct
City
Waldorf
State
Maryland
Zip
20603-4789
Phone Number
240-346-8178
Fax Number
240-607-7057
person
Provider Business Mailing Address Details
Address
5109 Rock Beauty Ct
City
Waldorf
State
Maryland
Zip
20603-4789
Phone Number
240-346-8178
Fax Number
240-607-7057
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
-
Taxonomy
332B00000X
License No.
(Maryland)
Definition
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
person
Provider's Taxonomy Details 2
Type
Suppliers
Classification
Prosthetic/Orthotic Supplier
Speciality
-
Taxonomy
335E00000X
License No.
(Maryland)
Definition
An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition.
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