Organization
LACYONI MORAES, MD, PC
Active
Other names
Abingdon Heart Care and Prevention
Organization subpart
No
Provider details
NPI number
Authorized official
LACYONI MORAES MD (OWNER)
(276) 676-2211
Entity
Organization
Contact information
Practice address
390 COMMERCE DR, SUITE A, ABINGDON, VA 24211-3876
(276) 676-2211
(276) 676-0966
Mailing address
390 COMMERCE DR, SUITE A, ABINGDON, VA 24211-3876
(276) 676-2211
(276) 676-0966
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
0101225620
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
461930
ANTHEM GROUP
VA
01
—
P00055669
RR MEDICARE
VA
Enumeration date
11/11/2005
Last updated
10/25/2007
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