Individual
MRS. LINDY LEE MOAKE
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
PCCNP
Contact information
Practice address
1935 MOTOR ST, DALLAS, TX 75235-7701
(972) 741-2226
Mailing address
1012 CREEK XING, COPPELL, TX 75019-6377
(214) 456-7794
(215) 456-7063
Taxonomy
Speciality
Code
Description
License number
State
363LP0222X
Critical Care Pediatric Nurse Practitioner
Primary
253922
TX
Other
Enumeration date
11/03/2005
Last updated
07/08/2007
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