Individual
LISA MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4801 ALBERTA AVE, DEPARTMENT OF OBSTETRICS AND GYNECOLOGY, EL PASO, TX 79905-2707
(915) 215-5099
(915) 545-6946
Mailing address
4600A MONTGOMERY BLVD NE, # 105, ALBUQUERQUE, NM 87109-1218
(877) 978-2229
(505) 830-2023
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
2003-0491
NM
207VM0101X
Maternal & Fetal Medicine Physician
Primary
Q2026
TX
Other
Enumeration date
08/02/2006
Last updated
02/03/2021
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