Individual
LISA RENEE MOSLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPSS
Contact information
Practice address
2542 W LAUREL RD, LONDON, KY 40741-8375
(606) 514-5031
Mailing address
6046 S US HIGHWAY 25, CORBIN, KY 40701-4947
(606) 514-5031
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
06/16/2023
Last updated
06/16/2023
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