MEDICARE: LEIMEREDITH LAPRI ADEENA MOORE-BYERS PA-C

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
1	363AM0700X	Medical Physician Assistant	1197890
2	363A00000X	Physician Assistant	0110009971	VA
3	363A00000X	Physician Assistant	C0008710	MD

General Provider Information

NPI Number	:	1497478358
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LEIMEREDITH LAPRI ADEENA MOORE-BYERS PA-C

Provider Business Mailing Address
First Line	:	301 RIVERVIEW AVE STE 700
Second Line	:
City	:	NORFOLK
State	:	VA
Zip	:	23510-1065
Country	:	US
Telephone Number	:	757-252-9365
Fax Number	:	757-962-7217

Provider Business Practice Location Address
First Line	:	301 RIVERVIEW AVE STE 700
Second Line	:
City	:	NORFOLK
State	:	VA
Zip	:	23510-1065
Country	:	US
Telephone Number	:	757-252-9365
Fax Number	:	757-962-7217

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/26/2022
Last Update Date	:	04/02/2026

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Directions to “ LEIMEREDITH LAPRI ADEENA MOORE-BYERS PA-C” Practice Location

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