Individual
LAURIE MOOREHOUSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT, RN
Contact information
Practice address
2336 HAZARD RD, PENN YAN, NY 14527-9745
(315) 536-4564
Mailing address
2336 HAZARD RD, PENN YAN, NY 14527-9745
(315) 536-4564
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
408654
NY
225700000X
Massage Therapist
Primary
026754
NY
Other
Enumeration date
06/16/2010
Last updated
09/16/2015
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