Individual
LISA B MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
42 CAPE RD, MILFORD, MA 01757-3292
(800) 853-2288
Mailing address
13 CONANT DR, STOW, MA 01775-1016
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
193658
MA
Other
Enumeration date
01/31/2020
Last updated
01/31/2020
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