Individual
DR. LENORE JOLENE MOYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPM
Contact information
Practice address
711 LOGAN BLVD, ALTOONA, PA 16602-4165
(814) 943-3668
(814) 942-7635
Mailing address
711 LOGAN BLVD, ALTOONA, PA 16602-4165
(814) 943-3668
(814) 942-7635
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
SC004749L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000141108
MED-PLUS
PA
05
—
001943530
—
PA
01
—
1530682
GATEWAY
PA
01
—
203328
UPMC
—
01
—
3142249/7154449PPO
AETNA
—
01
—
79237-1327
GEISINGER
—
01
—
99382
HEALTH AMERICA
—
01
—
MO1476655
BC/BS
—
Enumeration date
06/16/2005
Last updated
09/01/2015
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