# MELISSA K MOSS MD LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1801323001
- **Authorized official:** DR. MELISSA KALEENA MOSS MD (PHYSICIAN)
- **Authorized official phone:** (333) 333-3333

## Contact information

- **Practice address:** 802 S 10TH ST STE C, LEESVILLE, LA 71446-4662
- **Practice address phone:** (337) 238-4189
- **Mailing address:** 802 S 10TH ST STE C, LEESVILLE, LA 71446-4662

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QC1800X | Corporate Health Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 05/18/2017
- **Last updated:** 10/03/2019