Individual
LINDSEY ELIZABETH MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
601 CHILDRENS LN DEPT OF, NORFOLK, VA 23507-1910
(757) 668-8255
Mailing address
601 CHILDRENS LN, NORFOLK, VA 23507-1910
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
0102202260
VA
2080P0201X
Pediatric Allergy/Immunology Physician
Primary
0102202260
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CG6353
OTHER
VA
Enumeration date
04/12/2007
Last updated
06/21/2023
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