Individual
LAVETA MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
135 OKOLONA CUTOFF RD, HOUSTON, MS 38851-9769
(662) 990-7867
Mailing address
135 OKOLONA CUTOFF RD, HOUSTON, MS 38851-9769
(662) 990-7867
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
928685
MS
Other
Enumeration date
12/17/2025
Last updated
12/17/2025
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