Individual
DR. LACYONI MORAES-FINGLASS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1237 W MAIN ST, ABINGDON, VA 24210-4705
(276) 676-2211
Mailing address
19332 TRIPLE CROWN DR, ABINGDON, VA 24211-6752
(276) 676-3969
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
0101225620
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010003709
—
VA
01
—
010166700
BLACK LUNG
VA
01
—
2108605
MAMSI
VA
01
—
237991
SOUTHERN HEALTH
VA
01
—
461931
ANTHEM
VA
01
—
4653146
AETNA
VA
01
—
P00055669
RR MEDICARE
VA
Enumeration date
11/08/2005
Last updated
08/13/2019
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