Individual
LAUREN MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
320 E NORTH AVE, PITTSBURGH, PA 15212-4756
(412) 359-8820
(412) 359-8222
Mailing address
25 HICKORY PL APT C9, CHATHAM, NJ 07928-1473
(201) 919-7343
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
25MP00515200
NJ
363AM0700X
Medical Physician Assistant
MA057758
PA
Other
Enumeration date
09/02/2015
Last updated
03/12/2020
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