Individual
LAUREN E MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2219 N RALPH AVE, TUCSON, AZ 85712-3262
(520) 360-9423
(877) 727-4505
Mailing address
PO BOX 57752, TUCSON, AZ 85732-7752
(520) 360-9423
(877) 727-4505
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
3011610
AZ
Other
Enumeration date
05/18/2010
Last updated
05/18/2010
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