Individual
LORI NICOLE MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
X
Contact information
Practice address
3018 DUCK CREEK RD, LOST CREEK, WV 26385-7475
(304) 203-3419
Mailing address
3018 DUCK CREEK RD, LOST CREEK, WV 26385-7475
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
06/25/2025
Last updated
06/25/2025
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