Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Laurie Moy, DO

Individual provider Family Medicine Physician · NPI 1063918035

Dr. Laurie Moy, DO is a Family Practice in Clinton Township, Michigan. Qualified in 2018, 8 years ago. Practices with Ram Surendran MD PC, a 6-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Michigan.

Years since qualifying
8
Licensed in
MI
In the registry since
2018
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

15855 19 Mile Rd
Clinton Township, MI 48038-3504
Phone: (586) 263-3400
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1349 S Rochester Rd Ste 100, Rochester Hills, MI 48307-3151 — (248) 759-5460

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 5101026129 (MI)

Record details

NPI number1063918035
Entity typeIndividual (Type 1)
GenderFemale
Credentials DO
Sole proprietorNo
NPI enumeratedMarch 30, 2018
Last updated in NPPESJune 3, 2021
Certification dateJune 3, 2021
Mailing address15855 19 Mile Rd, Clinton Township, MI 48038-3504

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Ram Surendran Md Pc — 6 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Clinton Township