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Individual

LANCE MOORE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PT, DPT

Contact information

Practice address
1093 E BRIDGE ST, BRIGHTON, CO 80601-2252
(303) 655-9005
Mailing address
1822 E 164TH PL, THORNTON, CO 80602-7635

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PTL.0013350
CO
225100000X
Physical Therapist
Primary
PTL.0013350
IL

Other

Enumeration date
06/05/2015
Last updated
05/06/2026
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