Individual
LISA MARIE MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3205 4TH ST SW APT 43, MINOT, ND 58701-7377
(218) 340-8964
Mailing address
312 19TH ST NW, MINOT, ND 58703-2940
(218) 340-8964
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
$$$$$$$$$
ND
Other
Enumeration date
07/15/2026
Last updated
07/15/2026
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