MRS. Lisa Moon, REGISTERED NURSE

NPI #1164046769 in Palmyra, New York

Provider Information

NPI Number: 1164046769
Entity Type: Individual
Name: MRS. Lisa Moon, REGISTERED NURSE
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Registered Nurse
Credential: REGISTERED NURSE
Enumeration Date: May 31, 2020
Last Updated: May 31, 2020

Practice Location

Address: 2584 MAPLE AVE
City: Palmyra
State: New York
ZIP Code: 14522-9372
Phone: (315) 573-0203

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Registered Nurse	163W00000X	Primary

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