Individual
LYNNETTE MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
7525 TIDEWATER DR STE 19, NORFOLK, VA 23505-3700
(757) 330-0150
(877) 487-3044
Mailing address
7525 TIDEWATER DR STE 19, NORFOLK, VA 23505-3700
(757) 330-0150
(877) 487-3044
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0101054405
VA
Other
Enumeration date
12/18/2006
Last updated
03/19/2026
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