Individual
ELIZABETH E MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
730 W MARKET ST, LIMA, OH 45801-4602
(419) 996-4310
(419) 226-4315
Mailing address
PO BOX 636930, CINCINNATI, OH 45263-0001
(513) 981-5123
(513) 981-5015
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
COA.12849
OH
Other
Enumeration date
04/26/2012
Last updated
04/26/2012
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