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Individual
LONNA GAIL MOORE
Active
Individual
LONNA GAIL MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN-BC
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
78371
WV
363LF0000X
Family Nurse Practitioner
3007615
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3810026823
—
WV
05
—
7100345510
—
KY
Enumeration date
08/31/2012
Last updated
07/29/2026
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