Individual
LIZA MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1055 SOUTH BLVD E STE 100, ROCHESTER HILLS, MI 48307-5465
(248) 844-2936
Mailing address
1055 SOUTH BLVD E STE 100, ROCHESTER HILLS, MI 48307-5465
(248) 844-2936
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4704291236
MI
Other
Enumeration date
02/22/2018
Last updated
02/22/2018
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