Individual
LISA MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1481 MEADS, ORANGE, CA 92869
(714) 420-6516
Mailing address
1482 MEADS, ORANGE, CA 92869
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
95000411
CA
Other
Enumeration date
06/24/2015
Last updated
12/19/2022
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