Individual
LLOYD TETSUO MORITA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MDO8923
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001 373 000
BCBS
OR
05
—
125799
—
OR
05
—
8504037
—
WA
Enumeration date
11/28/2006
Last updated
10/03/2008
Update your record
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