Individual
DIONNE EVA MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
205 W 20TH ST, LORAIN CBOC, LORAIN, OH 44052-3779
(440) 244-3833
Mailing address
205 W. 20TH ST, LORAIN, OH 44052
(440) 244-3833
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPT 5498
OH
152W00000X
Optometrist
T 2410
OH
Other
Enumeration date
05/05/2006
Last updated
11/12/2009
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