Moore, Laurie Katherine

Moore, Laurie Katherine is an individual health care provider with primary practice located at 921 Oak Park Blvd Ste 100A , Pismo Beach CA 93449-3400. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Moore, Laurie Katherine can be contacted via phone (805) 474-9143.

Contact Information

Primary practice address
921 Oak Park Blvd Ste 100A Pismo Beach CA 93449-3400
Phone: (805) 474-9143
Fax: (805) 474-9569
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 20878 California

Profile Details

NPI number 1659694057
LBN Legal business name Moore, Laurie Katherine
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 12th, 2010
Last updated Sep 27th, 2010 - about 14 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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