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1982059317
LYDIA MOORE
LEBANON, TN
NPI
1982059317
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: TN APN0000020896)
Enumeration Date
2016-05-04
Last Update Date
2016-05-04
Business Address
-- LYDIA MOORE
100 PHYSICIANS WAY SUITE 300
LEBANON, TN 37090-8102
Phone number: 615-449-6868
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Mailing Address
-- LYDIA MOORE
1414 RIVERBROOK DR
HERMITAGE, TN 37076-3574
Phone number: 615-604-4188
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