Individual
LISA MARIE MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
30 MON GENERAL DR STE 2, MORGANTOWN, WV 26505-2853
(304) 365-8114
Mailing address
30 MON GENERAL DR STE 2, MORGANTOWN, WV 26505-2853
(304) 365-8114
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
51110
WV
Other
Enumeration date
08/25/2025
Last updated
08/25/2025
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