Individual
DR. LACEY FLOYD MOORE JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
30 MEMORIAL DR, PINEHURST, NC 28374-8707
(910) 295-4400
Mailing address
30 MEMORIAL DR, PINEHURST, NC 28374-8707
(910) 295-4400
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
2008-00189
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1821071101
BCBS NC
—
05
—
5909323
—
NC
Enumeration date
11/21/2005
Last updated
08/30/2011
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