Individual
LINDSEY MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
1541 KINGS HWY, SHREVEPORT, LA 71103-4228
(318) 626-0000
(318) 629-4833
Mailing address
1512 W KIRBY PL, SHREVEPORT, LA 71103-3822
(318) 626-0177
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
212816
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201281758
—
AR
Enumeration date
07/12/2013
Last updated
02/15/2023
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