Individual
LAURA ROSE MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
349 FRANKLIN ST, CLYMER, PA 15728-1173
(724) 254-4314
Mailing address
PO BOX 376, SEWARD, PA 15954-0376
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
MA066654
PA
Other
Enumeration date
06/26/2025
Last updated
06/26/2025
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