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
Phone: (828) 350-1880
Fax: (828) 252-2272
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1609943703 | NPPES |
Other | 08088 | BCBS | |
MEDICAID | 8908088 | BCBS |
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