Individual
DR. LAWRENCE HAROLD MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
2009 F STREET, VANCOUVER, WA 98663-3345
(360) 693-3715
(360) 737-8269
Mailing address
2009 F STREET, VANCOUVER, WA 98663
(360) 693-3715
(360) 737-8269
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
1515
OR
103G00000X
Clinical Neuropsychologist
Primary
2014
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
169713
DEPT OF LABOR & INDUSTRIE
WA
05
—
7078918
—
WA
Enumeration date
05/14/2007
Last updated
01/21/2015
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