Lisa M Moore, PA-C

NPI #1659456630 in Auburn, Maine

Provider Information

NPI Number: 1659456630
Entity Type: Individual
Name: Lisa M Moore, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Oct 26, 2006
Last Updated: Nov 12, 2025

Practice Location

Address: 690 MINOT AVE STE 1
City: Auburn
State: Maine
ZIP Code: 04210-3922
Phone: (207) 783-1328

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant - Surgical — Surgical	363AS0400X
Physician Assistant	363A00000X	Primary

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