Individual
LILLIAN R MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
20741 PATTERSON PKWY, HIGHLAND HILLS, OH 44122-7010
(216) 570-2611
(216) 763-0404
Mailing address
20741 PATTERSON PKWY, HIGHLAND HILLS, OH 44122-7010
(216) 570-2611
(216) 763-0404
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
RF524481
OH
Other
Enumeration date
10/23/2023
Last updated
10/23/2023
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