LAWRENCE MOORE M.D.
NPI 1104827377
Family Medicine in Placerville, CA

Active since August 09, 2005
1095 MARSHALL WAY, PLACERVILLE, CA 95667(530) 626-2920 Get Directions Write a Review

NPPES record last updated: January 26, 2012. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Lawrence Moore M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LAWRENCE MOORE M.D. (NPI 1104827377) is an individual family medicine provider in Placerville, California, licensed in California (A24847) and active in the NPI registry since August 2005.

NPPES Registry Identity

NPI1104827377
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameLAWRENCE MOORECredential: M.D.
Location Address1095 MARSHALL WAYPlacerville, CA 95667-5722
Mailing AddressPo Box 45680San Francisco, CA 94145-0680 · (530) 626-2920
Sole ProprietorNo
Enumeration DateAugust 9, 2005
Last NPPES UpdateJanuary 26, 2012
NPI 1104827377 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in CA · A24847
Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

1095 MARSHALL WAY, Placerville, CA 95667

Other Identifiers 1

Medicare OSCAR/certification00A248470CA

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner
1095 MARSHALL WAY
PLACERVILLE, CA 95667
Hospitalist
1095 MARSHALL WAY
PLACERVILLE, CA 95667
Hospitalist
1095 MARSHALL WAY
PLACERVILLE, CA 95667
Family Medicine
1095 MARSHALL WAY
PLACERVILLE, CA 95667
Hospitalist
1095 MARSHALL WAY
PLACERVILLE, CA 95667
Nurse Practitioner
1095 MARSHALL WAY, 2ND FLOOR
PLACERVILLE, CA 95667
Internal Medicine
1095 MARSHALL WAY
PLACERVILLE, CA 95667
Hospitalist
1095 MARSHALL WAY
PLACERVILLE, CA 95667

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lawrence Moore's NPI number?

The NPI number for Lawrence Moore is 1104827377. It was assigned to this individual provider in the NPPES registry on August 9, 2005.

Where is Lawrence Moore located?

Lawrence Moore practices at 1095 Marshall Way, Placerville, CA 95667. The listed phone number is (530) 626-2920.

What is Lawrence Moore's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Lawrence Moore was last updated on January 26, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.