MRS. Lavon Rena Moore, NURSE
NPI #1154639805 in Maple Heights, Ohio
Provider Information
- NPI Number
- 1154639805
- Entity Type
- Individual
- Name
- MRS. Lavon Rena Moore, NURSE
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Licensed Practical Nurse
- Credential
- NURSE
- Enumeration Date
- Sep 15, 2010
- Last Updated
- Sep 15, 2010
Practice Location
- Address
- 19081 WATERCREST AVENUE
- City
- Maple Heights
- State
- Ohio
- ZIP Code
- 44137
- Phone
- (216) 662-6045
Specialties & Taxonomy Codes
| Specialty |
|---|
| Licensed Practical Nurse |
| Licensed Vocational Nurse |
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