Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1790469781 Individual Practitioner Male Practitioner

Edder Geovanny Mora

Licensed Practical Nurse • Lawrence, MA

Professional Overview & Biography Verified Profile Summary

Edder Mora is a registered healthcare professional specializing in Licensed Practical Nurse in Lawrence, MA. Practice services are available at 360 MERRIMACK ST STE 9 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

360 Merrimack St Ste 9

Lawrence, MA 018431764

Telephone 9786556652
Fax 8339632112
Associated Practice Facility / Clinic
🏢 Tallman Eye Whittier Facility NPI 1639768229

Specialty Benchmarks & Practice Insights

Comparative analytics for Licensed Practical Nurse in Lawrence, MA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 9.0 Yrs
Regional Practice Density
35 Specialists

Practicing in Lawrence, MA (1557 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2023-06-12
Licensed Practical Nurse Primary Specialty

NUCC Taxonomy Code: 164W00000X

State License MA LN101085

An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

8 Associated Practitioners
Dr. Scott Early , MD

Family Medicine

NPI 1043207327

Doctor of Medicine (M.D.)

Joanna Peatfield , MSRN, BC

Nurse Practitioner - Gerontology

NPI 1053460584
NPI 1134431257

Doctor of Medicine (M.D.)

NPI 1265427694

Doctor of Medicine (M.D.)

Dr. Christine Young , MD

Internal Medicine

NPI 1558452367

Doctor of Medicine (M.D.)

Alicia Mitchell , NP

Nurse Practitioner - Family

NPI 1659972347

Nurse Practitioner

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active June 12, 2023

NPI status registered as active in NPPES database

📍
Updated Practice Location June 12, 2023

Registered at 360 MERRIMACK ST STE 9, LAWRENCE, MA 018431764 (Tel: 9786556652)

📍
Updated Business Mailing Address June 12, 2023

Registered at 87 PHILLIPS ST, METHUEN, MA 018444311 (Tel: 9788355358)

👤
Provider Name / Credentials Updated June 12, 2023

Recorded as EDDER MORA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 12, 2023

Licensed Practical Nurse (License #LN101085 in MA)

🟢
Initial NPI Registration & Enumeration June 12, 2023

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1790469781
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 12, 2023
Last Update: June 12, 2023
Sole Proprietor: No

Mailing Address

87 Phillips St

Methuen, MA 018444311

Phone: 9788355358

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.