Langdon, Lori Moore

Langdon, Lori Moore is an individual health care provider with primary practice located at 2406 Blue Ridge Rd Suite 100, Raleigh NC 27607-6678. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Langdon, Lori Moore can be contacted via phone (919) 786-5001.

Contact Information

Primary practice address
2406 Blue Ridge Rd Suite 100 Raleigh NC 27607-6678
Phone: (919) 786-5001
Fax: (919) 786-5051
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 9800305 North Carolina

Profile Details

NPI number 1649260043
LBN Legal business name Langdon, Lori Moore
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 26th, 2005
Last updated Jun 25th, 2014 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1649260043 NPPES
North Carolina Other 9800305 MEDICAL LICENSE
North Carolina MEDICAID 891149F MEDICAL LICENSE

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