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Individual

CAROLYN LEWIS MOORE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP

Contact information

Practice address
40546 HIGHWAY 42, PRAIRIEVILLE, LA 70769-5250
(225) 744-4988
(225) 622-9966
Mailing address
5959 S SHERWOOD FOREST BLVD, BATON ROUGE, LA 70816-6038
(225) 744-4988
(225) 765-9196

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN075293 AP03576
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1567981
LA
Enumeration date
07/11/2006
Last updated
02/11/2026
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