Individual
LEWIS MOORE JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
8101 GREEN LANTERN ST APT 302, RALEIGH, NC 27613-4560
(919) 896-5011
Mailing address
8101 GREEN LANTERN ST APT 302, RALEIGH, NC 27613-4560
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
90-1022716
NC
Other
Enumeration date
11/05/2013
Last updated
11/05/2013
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