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Individual

MS. LYNN RICH MOORE

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
LPN

Contact information

Practice address
209 W VIRGIL ST, WHITEVILLE, NC 28472-4017
(910) 641-0202
(910) 641-0208
Mailing address
209 W VIRGIL ST, WHITEVILLE, NC 28472-4017
(910) 641-0202
(910) 641-0208

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
051615
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0131P
BCBS
NC
01
2580308
CIGNA MEDICARE
NC
05
348906A
NC
Enumeration date
02/28/2006
Last updated
07/08/2007
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