Individual
LAURA KRUGER MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1100 HIGHWAY 16 E, CARTHAGE, MS 39051-4222
(601) 267-1406
(601) 267-1469
Mailing address
965 RIDGE LAKE BLVD STE 315, MEMPHIS, TN 38120-9401
(901) 227-8591
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R901923
MS
Other
Enumeration date
06/27/2017
Last updated
12/08/2021
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