Individual
LASHONDRA M. MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, CNS
Contact information
Practice address
2400 HOSPITAL RD, TUSKEGEE, AL 36083-5001
(334) 272-4670
Mailing address
3117 SHELDON LN, MONTGOMERY, AL 36108-1603
(334) 546-0996
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
1-090450
AL
364SG0600X
Gerontology Clinical Nurse Specialist
Primary
12.007020
CT
Other
Enumeration date
11/10/2008
Last updated
03/12/2024
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