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

Edder Geovanny Mora

Individual provider Licensed Practical Nurse · NPI 1790469781

Edder Geovanny Mora is a Licensed Practical Nurse in Lawrence, Massachusetts. Licensed in Massachusetts. Registered with an NPI since 2023.

Licensed in
MA
In the registry since
2023

Practice location Address checks out

360 Merrimack St Ste 9
Lawrence, MA 01843-1764
Phone: (978) 655-6652
Fax: (833) 963-2112
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Licensed Practical Nurse (primary) Taxonomy 164W00000X · Licence LN101085 (MA)

Record details

NPI number1790469781
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJune 12, 2023
Last updated in NPPESJune 12, 2023
Certification dateJune 12, 2023
Mailing address87 Phillips St, Methuen, MA 01844-4311

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