Individual
LORI NICOLE MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
4374 NEW TOWN AVE STE 200, WILLIAMSBURG, VA 23188-2865
(757) 984-6095
Mailing address
4374 NEW TOWN AVE STE 200, WILLIAMSBURG, VA 23188-2865
(757) 984-6095
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0024188896
VA
Other
Enumeration date
12/06/2023
Last updated
10/17/2024
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