Moore, Lacie

Moore, Lacie is an individual health care provider with primary practice located at 6011 University Blvd Suite 120, Ellicott City MD 21043-6074. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant, which is considered as her primary health care specialty. Moore, Lacie can be contacted via phone (410) 203-0391.

Contact Information

Primary practice address
6011 University Blvd Suite 120 Ellicott City MD 21043-6074
Phone: (410) 203-0391
Fax: (410) 203-2707
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant 225200000X A3664 Maryland

Profile Details

NPI number 1497023097
LBN Legal business name Moore, Lacie
Credentials Physical Therapist Assistant (PTA)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 9th, 2011
Last updated Jul 16th, 2012 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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