Individual
ELIZABETH JEANNE-ANNE MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1514 JEFFERSON HWY, NEW ORLEANS, LA 70121-2429
(504) 842-3900
(504) 842-0011
Mailing address
1514 JEFFERSON HWY, NEW ORLEANS, LA 70121-2429
(504) 842-3900
(504) 842-0011
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
29699
AL
208000000X
Pediatrics Physician
54988
TN
208000000X
Pediatrics Physician
Primary
MD.204558
LA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01176840
—
MS
05
—
2153455
—
LA
Enumeration date
06/19/2008
Last updated
02/04/2019
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