Lashonda Moore
Primary Podiatric Medicine
220 Fort Dale Rd
Greenville
, Alabama 36037-1502
Lashonda Moore
Primary Podiatric Medicine
220 Fort Dale Rd
Greenville
, Alabama 36037-1502
(334) 382-1400
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About
Features
Specialties
- Primary Podiatric Medicine
Languages spoken
- English
Location
First Address
- Lashonda Moore
- 220 Fort Dale Rd
- Greenville, AL
- Zip : 36037-1502
- Phone : (334) 382-1400
Second Address
- Lashonda Moore
- 220 Fort Dale Rd
- Greenville, AL
- Zip : 36037-1502
- Phone : (334) 382-1400
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 213EP1101X | Primary Podiatric Medicine | 261 | AL |
National Provider Identifier
| NPI | 1518993310 |
|---|---|
| Provider Name | Lashonda Moore |
| First Address | Greenville, AL 36037-1502 |
| Second Address | Greenville, AL 36037-1502 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 23/06/2006 |
| Last Update Date | 03/11/2011 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 051532088 | BC GREENVILLE OFFICE (01) | AL |
| 051532089 | BC SNF SUNBRIDGE (01) | AL |
| 051532090 | BC SNF BELLMONT ASSISTED (01) | AL |
| 051532091 | BC HILLABER TOWERS ALEX C (01) | AL |
| 051532092 | BC COUNTY CLUB MANOR WETU (01) | AL |
| 051532094 | BC CEDARS ASSISTED LIVING (01) | AL |
| 051532095 | BC ELMCROFT ASSISTED LIVI (01) | AL |
| 051533097 | BC MONTGOMERY OFFICE (01) | AL |
| 051533098 | BC CLANTON OFFICE (01) | AL |
| 890014810 | (05) | AL |
| 890014840 | (05) | AL |
| 890014860 | (05) | AL |
| 890014890 | (05) | AL |
| 891011570 | (05) | AL |
| 891011600 | (05) | AL |
| 891011610 | (05) | AL |
| 891011620 | (05) | AL |
| P00289903 | RAILROAD MEDICARE (01) | AL |
| U94486 | (02) | AL |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.