Individual
MS. LAUREN MOODY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1331 H ST NW FL 11, WASHINGTON, DC 20005-4706
(301) 906-1861
Mailing address
916 LAKE SHORE DR, BOWIE, MD 20721-2906
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R232780
MD
Other
Enumeration date
07/07/2022
Last updated
10/18/2022
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