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1558641969
LISA A MOORE
MEMPHIS, TN
NPI
1558641969
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: TN APN0000015941)
Enumeration Date
2011-08-17
Last Update Date
2021-01-05
Business Address
LISA A MOORE FNP-C
3360 N WATKINS ST
MEMPHIS, TN 38127-6432
Phone number: 901-401-7150
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Mailing Address
LISA A MOORE FNP-C
PO BOX 746725
ATLANTA, GA 30374-6725
Phone number: 312-733-9730
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