Individual
MRS. CHRISTY JO MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LDO
Contact information
Practice address
2350 GREY LAG WAY, LEXINGTON, KY 40509-2477
(859) 263-0905
(859) 263-0837
Mailing address
2350 GREY LAG WAY, LEXINGTON, KY 40509-2477
(859) 263-0905
(859) 263-0837
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
110641
KY
Other
Enumeration date
06/10/2022
Last updated
06/10/2022
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