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Organization
LSMRBT, PLLC
Active
Organization
LSMRBT, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAURA MOORE NP-C (OWNER/MANAGER)
(409) 330-4885
Entity
Organization
Contact information
Practice address
610 STRICKLAND DR, SUITE 380, ORANGE, TX 77630-4786
(409) 330-4885
(409) 330-4669
Mailing address
610 STRICKLAND DR, SUITE 380, ORANGE, TX 77630-4786
(409) 330-4885
(409) 330-4669
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
688868
TX
363LF0000X
Family Nurse Practitioner
Primary
716867
TX
363LG0600X
Gerontology Nurse Practitioner
688868
TX
Other
Enumeration date
02/09/2016
Last updated
02/09/2016
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