Individual
DR. LAURA ELIZABETH MOELLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3600 LINCOLN WAY, AMES, IA 50014-7595
(515) 663-4892
Mailing address
1215 DUFF AVE, AMES, IA 50010-5469
(515) 239-4400
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
37119
IA
208D00000X
General Practice Physician
01061438A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000481277
ANTHEM PIN
IN
05
—
1764506
—
IA
05
—
200825520
—
IN
01
—
P00469840
RAILROAD MEDICARE
IA
Enumeration date
06/23/2006
Last updated
09/05/2023
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