Lacyoni Moraes, MD, PC

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

License

0101225620 Issued in VA

Legal business name

LACYONI MORAES, MD, PC

Practice address

390 Commerce Dr
Suite a
Abingdon, VA 24211-3876

Phone

(276) 676-2211

Fax

(276) 676-0966

NPI assigned

Nov 11, 2005

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Lacyoni Moraes, MD

Title

Owner

Phone

(276) 676-2211

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Abingdon Heart Care and Prevention Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1131667200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193270400000",
    "number": "1235110677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "390 COMMERCE DR",
            "address_2": "SUITE A",
            "city": "ABINGDON",
            "state": "VA",
            "postal_code": "242113876",
            "telephone_number": "276-676-2211",
            "fax_number": "276-676-0966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "390 COMMERCE DR",
            "address_2": "SUITE A",
            "city": "ABINGDON",
            "state": "VA",
            "postal_code": "242113876",
            "telephone_number": "276-676-2211",
            "fax_number": "276-676-0966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LACYONI MORAES, MD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-11",
        "last_updated": "2007-10-25",
        "status": "A",
        "authorized_official_last_name": "MORAES",
        "authorized_official_first_name": "LACYONI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "276-676-2211",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "VA",
            "license": "0101225620",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM GROUP",
            "identifier": "461930",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00055669",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Abingdon Heart Care and Prevention",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Erin Andrea Koscinski, D.O
• Brittany Krackow
• Kroger Limited Partnership I
• Maung M. Kyi, M.D.
• Emily Lachniet, LCSW
• Elizabeth Lambert, LCSW
• Lindsay Brianna Lancaster, DO
• Shauna M Large, FNP
• Kayla Hayden Larimer
• Ian James Larson, DMD

• All providers in Abingdon, VA
• Medical Specialty Clinic/Center in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.