Individual
LISA RENEE MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
184 HOLIDAY HILLS DR, PARKERSBURG, WV 26104-8006
(304) 424-2400
(304) 420-9014
Mailing address
184 HOLIDAY HILLS DR, PARKERSBURG, WV 26104-8006
(304) 424-2400
(304) 420-9014
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
39468
WV
Other
Enumeration date
03/22/2022
Last updated
03/22/2022
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