Individual
L'NYA MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
400 MANE STREET, HAMMOND, LA 70402-0001
(985) 549-2129
Mailing address
6601 PAULINE DR, NEW ORLEANS, LA 70126-1040
(504) 451-2213
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3603279432101
—
LA
Enumeration date
01/31/2019
Last updated
01/31/2019
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