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Individual

MATTHEW MOORE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1214 COOLIDGE BLVD, LAFAYETTE, LA 70503-2621
(337) 289-8193
Mailing address
1042 CAMELLIA BLVD APT 3409, LAFAYETTE, LA 70508-6692

Taxonomy

Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary

Other

Enumeration date
05/21/2024
Last updated
05/21/2024
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