Organization
LISA C MOORE MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISA CATHERINE MOORE MD (PRESIDENT/PHYSICIAN)
(310) 829-4528
Entity
Organization
Contact information
Practice address
2021 SANTA MONICA BLVD, #212E, SANTA MONICA, CA 90404-2208
(310) 829-4528
(310) 453-4348
Mailing address
2021 SANTA MONICA BLVD, #212E, SANTA MONICA, CA 90404-2208
(310) 829-4528
(310) 453-4348
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
A71398
CA
Other
Enumeration date
10/12/2006
Last updated
04/24/2008
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