Moore, Carolyn Lewis
Moore, Carolyn Lewis is an individual health care provider with primary practice located at 40546 Highway 42 , Prairieville LA 70769-5250. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Moore, Carolyn Lewis can be contacted via phone (225) 744-4988.Contact Information
Primary practice address
40546 Highway 42
Prairieville LA 70769-5250
Phone: (225) 744-4988
Fax: (225) 622-9966
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | RN075293 AP03576 | Louisiana |
Profile Details
| NPI number | 1750316758 |
|---|---|
| LBN Legal business name | Moore, Carolyn Lewis |
| Credentials | Family Nurse Practitioner (FNP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 11th, 2006 |
| Last updated | Feb 11th, 2026 - about 9 months ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1750316758 | NPPES |
| Louisiana | MEDICAID | 1567981 |
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