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Ms. Bonny Lauren Moore, MD
Hematology & Oncology Physician in Fredericksburg, Virginia
NPI 1902048051

Bonny Lauren Moore is a Hematology & Oncology Physician based in Fredericksburg, VA and is specialized in Hematology & Oncology. Bonny Lauren Moore practices in Fredericksburg, VA and has the professional credentials of MD. The NPI Number for Bonny Lauren Moore is 1902048051 and holds a License No. 0101249938 (Virginia).

The current practice location address for Bonny Lauren Moore is 4501 Empire Ct, Fredericksburg, VA and can be reached out via phone at 540-371-0079 and via fax at 540-656-2653.

Location: 4501 Empire Ct, Fredericksburg, VA, 22408-1949
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1902048051
Provider Name
Bonny Lauren Moore
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
4501 Empire Ct, Fredericksburg, VA, 22408-1949
Phone Number
540-371-0079
Fax Number
540-656-2653
Provider Enumeration Date
04/02/2009
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1902048051 05 VA
institution
Provider Business Practice Location Address Details
Address
4501 Empire Ct
City
Fredericksburg
State
Virginia
Zip
22408-1949
Phone Number
540-371-0079
Fax Number
540-656-2653
person
Provider Business Mailing Address Details
Address
4501 Empire Ct
City
Fredericksburg
State
Virginia
Zip
22408-1949
Phone Number
540-371-0079
Fax Number
540-656-2653
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
Hematology & Oncology
Taxonomy
207RH0003X
License No.
0101249938 (Virginia)
Definition
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
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