Individual
LAKENYA MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
290 EAST ST STE 107, PITTSBORO, NC 27312-8863
(912) 484-5098
Mailing address
290 EAST ST STE 107, PITTSBORO, NC 27312-8863
(912) 484-5098
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
—
—
Other
Enumeration date
05/31/2022
Last updated
07/22/2024
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