Moore, Lily Lee

Moore, Lily Lee is an individual health care provider with primary practice located at 136 Mimosa Dr , Asheville NC 28806-1719. She recently has 2 registered licenses in different health care specialties including Podiatric Medicine & Surgery Service Providers / Foot Surgery, Podiatric Medicine & Surgery Service Providers / Podiatrist. Podiatric Medicine & Surgery Service Providers / Podiatrist is her primary health care specialty. Moore, Lily Lee can be contacted via phone (828) 350-1880.

Contact Information

Primary practice address
136 Mimosa Dr Asheville NC 28806-1719
Fax: (828) 252-2272
Website:

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot Surgery 213ES0131X 477 North Carolina
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X 477 North Carolina

Profile Details

NPI number 1609943703
LBN Legal business name Moore, Lily Lee
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 30th, 2006
Last updated Jan 29th, 2020 - about 5 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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Identifiers

StateTypeNumberIssuer
All States NPI 1609943703 NPPES
Other 08088 BCBS
MEDICAID 8908088 BCBS

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