Moore, Lisa Ann

Moore, Lisa Ann is an sole proprietor health care provider with primary practice located at 400 Park Ave , Babylon NY 11702-2025. She recently has only one registered license in Dietary & Nutritional Service Providers / Dietitian, Registered, which is considered as her primary health care specialty. Moore, Lisa Ann can be contacted via phone (646) 468-9821.

Contact Information

Primary practice address
400 Park Ave Babylon NY 11702-2025
Phone: (646) 468-9821
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X 727743 New York

Profile Details

NPI number 1023502473
LBN Legal business name Moore, Lisa Ann
Credentials Registered Dietitian (RD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 19th, 2018
Last updated Jun 19th, 2018 - about 8 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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