Individual
DR. JOHNSTON LEWIS MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1519 NYE RD, LYONS, NY 14489-9133
(315) 946-5722
Mailing address
1519 NYE RD, LYONS, NY 14489-9133
(315) 946-5722
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
319354
NY
Other
Enumeration date
04/26/2020
Last updated
08/22/2025
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