Individual
DR. LIANNE ELIZABETH MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
1 GENESYS PKWY, GRAND BLANC, MI 48439-8065
(810) 606-5980
Mailing address
14 NORTH MAIN STREET, SUITE 101, CLARKSTON, MI 48346-2830
(724) 544-1044
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
5101019340
MI
Other
Enumeration date
05/25/2011
Last updated
10/24/2014
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