Individual
COURTNEY LANAE MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
X
Contact information
Practice address
3445 S SHERIDAN RD, TULSA, OK 74145-1105
(918) 610-3366
(918) 610-3344
Mailing address
3445 S SHERIDAN RD, TULSA, OK 74145-1105
(918) 610-3366
(918) 610-3344
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
OK
Other
Enumeration date
11/08/2024
Last updated
11/08/2024
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