Individual
LAUREN CASSADY MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
460 W 10TH AVE, COLUMBUS, OH 43210
(614) 293-5066
Mailing address
460 W 10TH AVE, COLUMBUS, OH 43210-1240
Taxonomy
Speciality
Code
Description
License number
State
163WX0200X
Oncology Registered Nurse
RN371089
OH
363LA2200X
Adult Health Nurse Practitioner
Primary
CNP022964
OH
Other
Enumeration date
05/22/2018
Last updated
07/30/2018
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