Lakeisha Moore, is a
Licensed Practical Nurse based in Van Buren Township, Michigan. Lakeisha Moore is licensed to practice in Michigan (license number 4703126437) and her current practice location is
31 Ash Dr, Van Buren Township, Michigan. She can be reached at her office (for appointments etc.) via phone at
(734) 444-4880.
NPI number for Lakeisha Moore is 1245001957 and her current mailing address is 31 Ash Dr, Van Buren Township, Michigan. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1245001957.
Provider's Profile
| Full Name | Lakeisha Moore |
|---|
| Gender | Female |
|---|
| Speciality | Licensed Practical Nurse |
|---|
| Location | 31 Ash Dr, Van Buren Township, Michigan |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1245001957
- Provider Enumeration Date: 01/11/2024
- Last Update Date: 01/11/2024
Medical Identifiers
Medical identifiers for Lakeisha Moore such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1245001957 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 164W00000X | Licensed Practical Nurse | 4703126437 (Michigan) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Lakeisha Moore is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Lakeisha Moore,
31 Ash Dr,
Van Buren Township, MI 48111-2592
Ph: () - | Lakeisha Moore,
31 Ash Dr,
Van Buren Township, MI 48111-2592
Ph: (734) 444-4880 |
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