Individual
MRS. LORA LIZZETTE MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
AG-ACNP
Contact information
Practice address
181 TAYLOR AVE, COLUMBUS, OH 43203-1779
(614) 257-2330
Mailing address
181 TAYLOR AVE, COLUMBUS, OH 43203-1779
(614) 257-2330
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
RN.334733
OH
363LA2100X
Acute Care Nurse Practitioner
Primary
APRN.CNP.0031903
OH
Other
Enumeration date
06/09/2022
Last updated
07/27/2022
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