Individual
LAWRENCE R MOTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
12101 CAROL LN, FREDERICKSBURG, VA 22407-6101
(540) 785-7778
(540) 786-3318
Mailing address
PO BOX 1460, FREDERICKSBURG, VA 22402-1460
(540) 786-2100
(540) 786-6673
Taxonomy
Speciality
Code
Description
License number
State
2083X0100X
Occupational Medicine Physician
Primary
0101014524
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0101014524
LICENSE
VA
01
—
176011
ANTHEM
VA
Enumeration date
07/17/2006
Last updated
11/16/2007
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