Organization
LUXE DERMATOLOGY AND AESTHETIC CENTER, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LIZA MOORE MD (OWNER)
(919) 274-4199
Entity
Organization
Contact information
Practice address
8200 GREENSBORO DR STE 801, MC LEAN, VA 22102-4925
(703) 942-9787
(703) 563-3824
Mailing address
8200 GREENSBORO DR STE 801, MC LEAN, VA 22102-4925
(703) 942-9787
(703) 563-3824
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
Other
Enumeration date
04/16/2019
Last updated
03/12/2020
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