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

Paul Derek Moore, MD

Individual provider Family Medicine Physician · NPI 1417945700

Paul Derek Moore, MD is a Family Medicine Physician in Lebanon, Pennsylvania. Licensed in Colorado and Pennsylvania. Registered with an NPI since 2005.

Licensed in
CO, PA
In the registry since
2005
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

815 Cumberland St Ste 205
Lebanon, PA 17042-5266
Phone: (717) 277-7400
Fax: (717) 277-7402
Show map & directions

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

Specialties & licences

General Practice Physician (primary) Taxonomy 208D00000X · Licence MD444618 (PA)
Family Medicine Physician Taxonomy 207Q00000X · Licence 40759 (CO)

Record details

NPI number1417945700
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedOctober 11, 2005
Last updated in NPPESSeptember 23, 2016
Mailing address100 N Cameron St, Suite 401e, Harrisburg, PA 17101-2424

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