LAURA LOOMER MOYLAN


Address: 1930 Braeburn Dr, Suite B, Salem, VA 24153-7391
Phone: 5407766800

LAURA LOOMER MOYLAN (NPI# 1235192527) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1235192527
Entity Type Individual
Full Name LAURA LOOMER MOYLAN
Credential M.D.
Practice Address 1930 Braeburn Dr
Suite B
Salem
VA 24153-7391
Mailing Address 6008 Cavalier Dr
Roanoke
VA 24018-3880
Practice Telephone 5407766800
Practice Fax Number 5407762919
Mailing Telephone 5407726920
Enumeration Date 2006-04-09
Last Update Date 2010-10-22
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 174400000X Specialist 0101044609 VA Other Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
VA TAX ID # 54-1832336 01
VA BCBS PROVIDER NUMBER 282028 01
VA 6209718 05

Other Providers LAURA MOYLAN

NPI Name Taxonomy Address Enumeration
1407219074 Laura T Moylan Lactation Consultant, Non-RN 561 Se Marydale Ter, Port St Lucie, FL 34983-2217 2016-03-31
1063496735 Laura B Moylan Obstetrics & Gynecology 200 Banning Street, Suite 320, Dover, DE 19904-3530 2005-12-06

Office Location

Street Address 1930 BRAEBURN DR
SUITE B
City SALEM
State VA
Zip Code 24153-7391

Providers in the same location

NPI Name Taxonomy Address Enumeration
1912079708 Gary Wayne Crawford Dentist 1930 Braeburn Dr, Suite A, Salem, VA 24153 2006-11-15

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1669001228 Paul Mcguire Student in an Organized Health Care Education/Training Program 1906 Braeburn Drive Psychiatry Gme, Salem, VA 24153 2020-04-06
1386114965 Dynamic Medical LLC Clinical Medical Laboratory 1201 Texas Street, Salem, VA 24153 2018-11-27
1134607898 Renew Psychiatry Services Psychiatry & Neurology 177 Electric Rd, Salem, VA 24153 2018-08-03
1508304015 Samantha Getz Assisted Living Facility 3706 Knollridge Rd., Salem, VA 24153 2017-02-03
1518409762 Melissa Ward Case Manager/Care Coordinator 1380 Southside Dr, Suite 100, Salem, VA 24153 2016-11-04
1154729051 Allison Marie Parry Physician Assistant 1336 W Main St., Salem, VA 24153 2014-12-09
1598199457 Stacy Stanley Occupational Therapy Assistant 4812 Moore Rd, Salem, VA 24153 2013-08-28
1366888034 Dolores Hager Speech-Language Pathologist 1851 Harrogate Dr, Salem, VA 24153 2013-05-21
1073850764 Joel Aaron Nickerson Specialist/Technologist 400 Spartan Dr., Salem High School, Salem, VA 24153 2013-01-15
1023387271 National Diabetic Medical Supply, LLC Durable Medical Equipment & Medical Supplies 2153 Apperson Drive, Salem, VA 24153 2011-12-16
Find all providers in zip 24153

Taxonomy Information

Taxonomy Code 174400000X
Grouping Other Service Providers
Classification Specialist

Taxonomy 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.
Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1265970495 Deanna Lauren Carter Specialist 9 Muse Ter, Salem, NH 03079-2921 2017-02-08
1043763980 Michael Tre Cline Jr. Specialist 1505 Whitaker Dr Se, #201, Salem, OR 97317-5912 2016-07-27
1508213604 Amy Masters Specialist 23190 Zieber Ln Nw, Salem, OR 97304-9631 2016-05-18
1417326398 Lisa K Breslin Specialist 27 Congress St Ste 203, Salem, MA 01970-5576 2015-09-21
1588048656 Carl Bettencourt Specialist 67 Wharf St, Salem, MA 01970-5116 2015-07-17
1689066250 Maxine Trujillo Specialist 191 Mcnary Ave Nw, Salem, OR 97304-4037 2015-02-19
1619379633 Wanda Getz Specialist 4275 Commercial St Se, Salem, OR 97302-4086 2014-09-22
1255753174 Janette Toll Specialist 1898 Court St Ne, Salem, OR 97301-4328 2014-01-12
1912333741 Melanie A Ground Specialist 1967 Brightwood Ct S, Salem, OR 97302-2405 2013-09-25
1245662410 Kenneth M. Wilson, M.d., P.C. Specialist 700 Bellevue St Se Ste 260, Salem, OR 97301-3888 2013-07-30
Find all providers in SALEM

Competitor

Search similar providers

City SALEM
Zip Code 24153

Improve Information

Please comment or provide details below to improve the information on LAURA LOOMER MOYLAN.

Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

Trending Searches