Individual
MS. LINDSAY GRACE MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
365 MONTAUK AVE, NEW LONDON, CT 06320-4700
(860) 442-0711
Mailing address
1154 HILL ST, BRISTOL, CT 06010-2256
(860) 751-2761
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
RN9511006
FL
207L00000X
Anesthesiology Physician
277039
AZ
367500000X
Certified Registered Nurse Anesthetist
Primary
10717
CT
367500000X
Certified Registered Nurse Anesthetist
11019518
FL
367500000X
Certified Registered Nurse Anesthetist
277039
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1154959765
—
CT
05
—
1154959765
—
RI
Enumeration date
03/30/2020
Last updated
07/07/2025
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