Moore, Lashanda Denise

Moore, Lashanda Denise is an individual health care provider with primary practice located at 5582 Memorial Dr , Stone Mountain GA 30083-3215. She recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Moore, Lashanda Denise can be contacted via phone (404) 298-8998.

Contact Information

Primary practice address
5582 Memorial Dr Stone Mountain GA 30083-3215
Phone: (404) 298-8998
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X RN249446 Georgia
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X RN249446 Georgia
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X APRN-NP249446 Georgia

Profile Details

NPI number 1205306891
LBN Legal business name Moore, Lashanda Denise
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 27th, 2018
Last updated Jun 14th, 2026 - about 5 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1205306891 NPPES
Georgia MEDICAID 1205306891

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