Individual
DR. JESSICA LEE LAMBERT MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
5541 S SCATTERFIELD RD, ANDERSON, IN 46013-3140
(765) 748-0359
Mailing address
11939 REDPOLL TRL, NOBLESVILLE, IN 46060-5028
(765) 748-0359
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
18003931A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0155691
—
OH
05
—
201333470
—
IN
Enumeration date
07/04/2013
Last updated
10/17/2023
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