Lisa Moore, MS ED
NPI #1891056966 in Holtsville, New York
Provider Information
- NPI Number
- 1891056966
- Entity Type
- Individual
- Name
- Lisa Moore, MS ED
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Specialist
- Credential
- MS ED
- Enumeration Date
- Jun 5, 2012
- Last Updated
- Jun 22, 2012
Practice Location
- Address
- 41 CHERRY AVE
- City
- Holtsville
- State
- New York
- ZIP Code
- 11742-1750
- Phone
- (631) 654-3561
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist |
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