Individual
DR. LILY LEE MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPM
Contact information
Practice address
136 MIMOSA DR, ASHEVILLE, NC 28806-1719
(828) 350-1880
(828) 252-2272
Mailing address
136 MIMOSA DR, ASHEVILLE, NC 28806-1719
(828) 350-1880
(828) 252-2272
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
477
NC
213ES0131X
Foot Surgery Podiatrist
477
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
08088
BCBS
—
05
—
8908088
—
NC
Enumeration date
11/30/2006
Last updated
01/29/2020
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