Individual
LAURIE A MOONEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1330 COSHOCTON AVE, MOUNT VERNON, OH 43050-1440
(740) 393-9000
Mailing address
PO BOX 1185, ASHLAND, OH 44805-5185
(419) 756-4004
(360) 343-0513
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
35066156M
OH
207RS0012X
Sleep Medicine (Internal Medicine) Physician
Primary
35066156
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2080304
—
OH
Enumeration date
01/11/2006
Last updated
03/18/2019
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