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Individual
LISA M MOORMAN
Active
Individual
LISA M MOORMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNP
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
07397-NP
OH
363L00000X
Nurse Practitioner
1102028
KY
363LA2200X
Adult Health Nurse Practitioner
Primary
APRN.CNP.07397
OH
Other
Enumeration date
04/19/2006
Last updated
04/19/2021
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