MS. Lisa June Moore, NURSE PRACTITIONER
NPI #1578780961 in Eagle, Idaho
Provider Information
- NPI Number
- 1578780961
- Entity Type
- Individual
- Name
- MS. Lisa June Moore, NURSE PRACTITIONER
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Nurse Practitioner - Family
- Credential
- NURSE PRACTITIONER
- Enumeration Date
- Apr 19, 2007
- Last Updated
- Nov 21, 2023
Practice Location
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner |
| Nurse Practitioner - Family — Family |
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