Mary Mora in Lansing - Pediatrics

Mary Mora - NPI 1083723977

Mary Mora is a Pediatrics in Lansing, Michigan. Mary Mora practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Mary Mora is 1083723977. The last update date is 2007-07-09.

Mary Mora's current location address is 3937 Patient Care Dr, Lansing, Michigan. You can contact this provider via phone number 5173946484 and fax number 5173947785. The mailing address for Mary Mora is 3937 Patient Care Dr, Lansing, Michigan. To know further, please read the information below!

Provider Profile Detail

Provider Name Mary Mora
Address 3937 Patient Care Dr, Lansing, Michigan
Phone Number 5173946484
Fax Number 5173947785
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1083723977
Provider Enumeration Date 2006-08-30
Last Updated Date 2007-07-09

Provider Mailing Address Detail

Address 3937 Patient Care Dr
City Lansing
State Michigan (MI)
Post Code 48911
Phone Number 5173946484
Fax Number 5173947785

Provider's Primary Taxonomy Detail

Speciality Pediatrics
Taxonomy 208000000X
Licence No 43750
Definition:
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
1200190 MI PHP
201963697 MI COMMERCIAL INS
1270190 MI COMMERCIAL INSURANCE
5817732 MI COMMERCIAL
0C313191 MI BCN
4711314 MI --
0C31319 MI BCBS
MM043750 MI COMMERCIAL
P58952 MI BCN

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FAQs about Mary Mora

What is the unique identifier code issued to Mary Mora by the Centers for Medicare & Medicaid Services?

The Mary Mora has been assigned the NPI (National Provider Identifier) 1083723977. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Can you provide the Mary Mora's physical address?

The Mary Mora is physically located at 3937 Patient Care Dr, in the city of Lansing, MI, with the postal code 48911.

What is Mary Mora's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Mary Mora is Pediatrics, and the taxonomy code that categorizes this field of expertise is 208000000X.

On what date did the Centers for Medicare & Medicaid Services issue the 1083723977 to Mary Mora?

The Mary Mora received its 1083723977 assignment from the Centers for Medicare & Medicaid Services on 2006-08-30.

As of what date was the information regarding Mary Mora, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Mary Mora, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-09.

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