Individual
MS. ALICIA LAKESHIA MOON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
420 20TH ST N STE 2200, BIRMINGHAM, AL 35203-3261
(866) 949-0108
Mailing address
6268 BURBANK CROSSING LOOP, MONTGOMERY, AL 36117-3186
(334) 224-0659
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
F1180736
AL
Other
Enumeration date
12/07/2018
Last updated
07/13/2022
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