Individual
LAMARCUS MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1110 RINGGOLD AVE STE B, COUSHATTA, LA 71019-9004
(318) 932-1770
Mailing address
PO BOX 921, COUSHATTA, LA 71019-0921
(318) 214-7948
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN154244
LA
363LG0600X
Gerontology Nurse Practitioner
Primary
244389
LA
363LP2300X
Primary Care Nurse Practitioner
244389
LA
Other
Enumeration date
05/19/2025
Last updated
01/30/2026
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