Individual
DR. LORI DARLENE MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
7 W FOOTHILL BLVD, SUITE 3, ARCADIA, CA 91006-2367
(626) 357-2020
(626) 357-9020
Mailing address
7 W FOOTHILL BLVD, SUITE 3, ARCADIA, CA 91006-2367
(626) 357-2020
(626) 357-9020
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
G57630
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G576300
—
CA
Enumeration date
08/01/2006
Last updated
03/08/2016
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