Individual
LAUREN MARIE MOODY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1203 LANGHORNE NEWTOWN RD STE 335, LANGHORNE, PA 19047-1236
(215) 741-2707
Mailing address
PO BOX 34990, BELFAST, ME 04915-0627
(610) 359-5672
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
25MP00659800
NJ
363AM0700X
Medical Physician Assistant
Primary
MA064842
PA
Other
Enumeration date
11/11/2022
Last updated
12/17/2024
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