Healthcare Provider Details
I. General information
NPI: 1053705475
Provider Name (Legal Business Name): LEXIE MORALES M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 03/24/2015
Last Update Date: 12/03/2025
Certification Date: 12/03/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
5150 MAE ANNE AVE STE 405
RENO NV
89523-1859
US
IV. Provider business mailing address
5150 MAE ANNE AVE STE 405
RENO NV
89523-1859
US
V. Phone/Fax
- Phone: 775-444-4362
- Fax: 800-782-8451
- Phone: 775-444-4362
- Fax: 800-782-8451
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207V00000X |
| Taxonomy | Obstetrics & Gynecology Physician |
| License Number | 21520 |
| License Number State | NV |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207V00000X |
| Taxonomy | Obstetrics & Gynecology Physician |
| License Number | A161317 |
| License Number State | CA |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: