Individual
LORE-LYNDSEY HARGRAVE MORAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP-FNP-C
Contact information
Practice address
102 ASMA BLVD STE 112, LAFAYETTE, LA 70508-3843
(337) 504-2332
(337) 504-4748
Mailing address
101 OAKPARK CIR, LAFAYETTE, LA 70506-5856
(337) 658-6744
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
AP09809
LA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
AP09809
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PA024066
PRESCRIPTIVE AUTHORITY
LA
Enumeration date
03/22/2018
Last updated
05/15/2025
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