MEDICARE: DR. LANNA MERCEDES MOORE-DUNCAN MD

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	2084P0800X	Psychiatry Physician	MA60478	NJ
2	101Y00000X	Counselor	MD00046495	WA

General Provider Information

NPI Number	:	1508838780
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. LANNA MERCEDES MOORE-DUNCAN MD

Provider Business Mailing Address
First Line	:	2422 S 224TH ST
Second Line	:	APARTMENT 104
City	:	DES MOINES
State	:	WA
Zip	:	98198-6643
Country	:	US
Telephone Number	:	206-653-7215
Fax Number	:

Provider Business Practice Location Address
First Line	:	9601 STEILACOOM BLVD SW
Second Line	:
City	:	LAKEWOOD
State	:	WA
Zip	:	98498-7213
Country	:	US
Telephone Number	:	253-582-8900
Fax Number	:

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

Provider Enumeration Date	:	02/02/2006
Last Update Date	:	09/11/2025

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