MRS. Lisa Michelle Moore

NPI #1114525813 in Miamisburg, Ohio

Provider Information

NPI Number: 1114525813
Entity Type: Individual
Name: MRS. Lisa Michelle Moore
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Homemaker
Enumeration Date: Oct 14, 2020
Last Updated: Oct 14, 2020

Practice Location

Address: 2541 ROCKCASTLE CT
City: Miamisburg
State: Ohio
ZIP Code: 45342-7259
Phone: (937) 438-1856

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Homemaker	376J00000X	Primary

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