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

Lakeysha Demar Moore

Individual provider Durable Medical Equipment & Medical Supplies · NPI 1467025361

Lakeysha Demar Moore is a Durable Medical Equipment & Medical Supplies in Waldorf, Maryland. Practices as a sole proprietor. Licensed in Maryland.

Licensed in
MD
In the registry since
2021
Specialties on file
2
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Practice location Address checks out

5109 Rock Beauty Ct
Waldorf, MD 20603-4789
Phone: (240) 346-8178
Fax: (240) 607-7057
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Prosthetic/Orthotic Supplier (primary) Taxonomy 335E00000X (MD)
Durable Medical Equipment & Medical Supplies Taxonomy 332B00000X (MD)

Record details

NPI number1467025361
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJuly 20, 2021
Last updated in NPPESJuly 20, 2021
Certification dateJuly 20, 2021

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