Lisa Moore

NPI #1558931683 in Fairborn, Ohio

Provider Information

NPI Number: 1558931683
Entity Type: Individual
Name: Lisa Moore
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Home Health Aide
Enumeration Date: Jun 30, 2021
Last Updated: Jun 30, 2021

Practice Location

Address: 14 W FUNDERBURG RD
City: Fairborn
State: Ohio
ZIP Code: 45324-2816
Phone: (937) 929-0440

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Home Health Aide	374U00000X	Primary

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