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NPI Code Detail

MEDICARE: LUCIUS LEE MOSLEY III

MEDICARE: LUCIUS LEE MOSLEY III
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1171M00000XCase Manager/Care Coordinator

General Provider Information

NPI Number : 1285050815
Entity Type Code : Individual
Provider Name (Legal Business Name) : LUCIUS LEE MOSLEY III
Provider Business Mailing Address
First Line : 721 8TH ST
Second Line :
City : BAKERSFIELD
State : CA
Zip : 93304-2224
Country : US
Telephone Number : 661-326-9709
Fax Number : 661-326-9709
Provider Business Practice Location Address
First Line : 721 8TH ST
Second Line :
City : BAKERSFIELD
State : CA
Zip : 93304-2224
Country : US
Telephone Number : 661-326-9700
Fax Number : 661-326-9709
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/06/2014
Last Update Date : 03/06/2014

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Directions to “ LUCIUS LEE MOSLEY III ” Practice Location

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