Moore, Laurie Anne

Moore, Laurie Anne is an individual health care provider with primary practice located at 126 Missouri Ave Mcxp-Ccs-Cr, Fort Leonard Wood MO 65473-8952. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Moore, Laurie Anne can be contacted via phone (573) 596-0417.

Contact Information

Primary practice address
126 Missouri Ave Mcxp-Ccs-Cr Fort Leonard Wood MO 65473-8952
Fax: (573) 596-0524
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 118221 Missouri

Profile Details

NPI number 1295713246
LBN Legal business name Moore, Laurie Anne
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 9th, 2006
Last updated Jul 8th, 2007 - about 18 years 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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