Individual
DR. JEFFREY LEE MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
135 N EWING ST, SUITE 301, LANCASTER, OH 43130-3382
(740) 654-3668
(740) 654-7528
Mailing address
412 N EASTWOOD AVE, LANCASTER, OH 43130-3234
(704) 654-5443
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
36-00-2397-M
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0654377
—
OH
Enumeration date
12/14/2005
Last updated
10/09/2012
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