Individual
LORI A MOYERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
3129 BLATTNER DR, CAPE GIRARDEAU, MO 63703-6364
(573) 335-0166
(573) 335-7942
Mailing address
3129 BLATTNER DR, CAPE GIRARDEAU, MO 63703-6364
(573) 335-0166
(573) 335-7942
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
115256
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
245290408
—
MO
01
—
DA4814
RAILROAD MEDICARE
MO
Enumeration date
02/27/2007
Last updated
10/08/2019
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