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Contact Information

LISA R MOORE, LPN
184 HOLIDAY HILLS DR
PARKERSBURG, WV26104-8006
 Phone: 304-424-2400
 Fax: 304-420-9014
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Licensed Vocational Nurse

164X00000X
Indicates primary specialty

NPI Profile & details for LISA R MOORE · (Female)

NPI # 1003565409
Status Active
Credentials LPN (Licensed Practical Nurse)
Entity Individual
Enumeration date 03/22/2022
Last updated 03/22/2022 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • WV License # 39468
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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