LYDIA MOORE

LEBANON, TN
NPI1982059317
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner Family
(Licence: TN  APN0000020896)
Enumeration Date2016-05-04
Last Update Date2016-05-04
Business Address
LYDIA MOORE
100 PHYSICIANS WAY SUITE 300
LEBANON, TN 37090-8102
Phone number: 615-449-6868
Mailing Address
LYDIA MOORE
1414 RIVERBROOK DR
HERMITAGE, TN 37076-3574
Phone number: 615-604-4188
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