Michel Moten

Individual provider Active NPI Driver · Clinton, MD

NPI 1922829985 · NPPES record last updated Oct 22, 2024

Key facts

NPI
1922829985
Entity type
Individual (NPI type 1)
Primary specialty
Driver 172A00000X
Practice address
6320 Clinton Way
Clinton, MD 20735-3925
Phone
(667) 280-0058
NPI assigned
Oct 22, 2024
Sex
Male
Sole proprietor
Yes

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Practice roles

OrganizationSpecialtyStatusNew patients
Lala Logistics, LLC. Current
since May 25, 2025
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Driver 172A00000X Yes

Addresses

Primary practice location

6320 Clinton Way
Clinton, MD 20735-3925

Mailing address

6320 Clinton Way
Clinton, MD 20735-3925
Phone (667) 280-0058

Other providers in Clinton, MD

All providers in Clinton, MD · Driver in Maryland

Sources for this page

Verify at the official NPI Registry.