# LISA B. MORENO

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1508977208
- **Gender:** F
- **Credential:** M.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207K00000X | Allergy & Immunology Physician | 223927 | NY | — |
| 207K00000X | Allergy & Immunology Physician | MD044781 | DC | — |
| 208000000X | Pediatrics Physician | 223927 | NY | — |
| 2080P0201X | Pediatric Allergy/Immunology Physician | 223927 | NY | Yes |

## Other

- **Enumeration date:** 08/31/2006
- **Last updated:** 10/19/2022