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

Tlalliaztlan E Moya Smith

Individual provider Family Medicine Physician · NPI 1114543105

Tlalliaztlan E Moya Smith is a Family Practice in Lawrence, Massachusetts. Qualified in 2020, 6 years ago. Practices with The Metrohealth System, a 1,163-clinician group and accepts Medicare assignment. Licensed in Massachusetts.

Years since qualifying
6
Licensed in
MA
In the registry since
2020

Practice location Address checks out

34 Haverhill St
Lawrence, MA 01841-2884
Phone: (978) 686-0090
Show map & directions

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

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence ETLL-1096 (MA)

Record details

NPI number1114543105
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJune 25, 2020
Last updated in NPPESNovember 16, 2023
Certification dateNovember 16, 2023
Mailing address34 Haverhill St, Lawrence, MA 01841-2884

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice The Metrohealth System — 1163 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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