Individual
LAURA F MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PAC
Contact information
Practice address
900 CATON AVENUE, BALTIMORE, MD 21229
(410) 368-2514
(410) 368-2640
Mailing address
PO BOX 21182, BALTIMORE, MD 21228
(410) 368-8640
(410) 368-8644
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
C0002363
MD
Other
Enumeration date
04/01/2006
Last updated
03/06/2009
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