MRS. Lori Lynn Moog

NPI #1780898734 in Las Cruces, New Mexico

Provider Information

NPI Number: 1780898734
Entity Type: Individual
Name: MRS. Lori Lynn Moog
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Contractor
Enumeration Date: May 9, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 1258 LEA RANCH DR.
City: Las Cruces
State: New Mexico
ZIP Code: 88012
Phone: (505) 373-0850

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Contractor	171W00000X	Primary

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