Lucien Kennedy Moss in Lake Charles - Specialist

Lucien Kennedy Moss - NPI 1255441382

Lucien Kennedy Moss is a Specialist in Lake Charles, Louisiana. Lucien Kennedy Moss practices all healthcare services and medical treatments related to Specialist. The NPI Number for Lucien Kennedy Moss is 1255441382. The last update date is 2008-04-08.

Lucien Kennedy Moss's current location address is 2770 3rd Ave, Lake Charles, Louisiana. You can contact this provider via phone number 3374944868 and fax number 3374944870. The mailing address for Lucien Kennedy Moss is 2770 3rd Ave, Lake Charles, Louisiana. To know further, please read the information below!

Provider Profile Detail

Provider Name Lucien Kennedy Moss
Address 2770 3rd Ave, Lake Charles, Louisiana
Phone Number 3374944868
Fax Number 3374944870
Sole Proprietor N
Credentials M.D.

NPI Number Detail

NPI Number 1255441382
Provider Enumeration Date 2006-08-30
Last Updated Date 2008-04-08

Provider Mailing Address Detail

Address 2770 3rd Ave
City Lake Charles
State Louisiana (LA)
Post Code 706018994
Phone Number 3374944868
Fax Number 3374944870

Provider's Primary Taxonomy Detail

Speciality Specialist
Taxonomy 174400000X
Licence No 15821
Definition:
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
1341280 LA --
50046C963 LA MEDICARE LEGACY

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FAQs about Lucien Kennedy Moss

What is the unique 10-digit identification code issued to Lucien Kennedy Moss by the Centers for Medicare & Medicaid Services?

The Lucien Kennedy Moss has been assigned the NPI (National Provider Identifier) 1255441382 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you kindly provide the complete physical address where Lucien Kennedy Moss's facilities are geographically located?

The facilities of Lucien Kennedy Moss are physically situated at the following location: 2770 3Rd Ave, Lake Charles, LA, 706018994.

What is the Lucien Kennedy Moss's area of specialization and corresponding taxonomy classification?

The Lucien Kennedy Moss's specialty field is Specialist, and it falls under the taxonomy code 174400000X, which categorizes healthcare providers based on their specialties.

When did the Lucien Kennedy Moss receive its 1255441382?

The Lucien Kennedy Moss was issued its 1255441382 on 2006-08-30, which is the date when the organization was assigned this unique identifier.

As of what date was the information pertaining to Lucien Kennedy Moss, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Lucien Kennedy Moss, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2008-04-08.

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