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1063827343
LISA MOORE
CULVER CITY, CA
NPI
1063827343
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: CA A173679)
Enumeration Date
2014-06-25
Last Update Date
2022-01-18
Business Address
LISA MOORE
4700 INGLEWOOD BLVD
CULVER CITY, CA 90230-5896
Phone number: 310-392-8636
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Mailing Address
LISA MOORE
2050 PFINGSTEN RD
GLENVIEW, IL 60026-1324
Phone number:
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