Organization
LIVMOORE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LONNIE LATRELL MOORE (MR)
(662) 444-7273
Entity
Organization
Contact information
Practice address
979 HIGHWAY 6 W STE C&D, OXFORD, MS 38655-9079
(662) 444-7273
Mailing address
1022 MARTIN LUTHER KING DR, MARKS, MS 38646-1832
(662) 444-7273
Taxonomy
Speciality
Code
Description
License number
State
261QI0500X
Infusion Therapy Clinic/Center
—
—
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
01/20/2023
Last updated
01/20/2023
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