LISA MOORE

OMAHA, NE
NPI1427673938
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: NE  329)
Enumeration Date2020-06-10
Last Update Date2020-06-10
Business Address
Miss LISA MOORE ATC
1010 S 144TH ST
OMAHA, NE 68154-2801
Phone number: 402-715-1515
Mailing Address
Miss LISA MOORE ATC
1010 S 144TH ST
OMAHA, NE 68154-2801
Phone number: 402-715-1515
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