Organization
L MOORE
Active
Organization
L MOORE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LONNIE L MOORE JR. (OWNER)
(318) 518-8103
Entity
Organization
Contact information
Practice address
5031 DEDMAN DR, SHREVEPORT, LA 71107-2821
(318) 584-5299
(318) 681-9501
Mailing address
5031 DEDMAN DR, SHREVEPORT, LA 71107-2821
(318) 584-5299
(318) 681-9501
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
343900000X
LA
Other
Enumeration date
10/20/2009
Last updated
10/20/2009
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