Moore, Lisa
Moore, Lisa is an individual health care provider with primary practice located at 4700 Inglewood Blvd , Culver City CA 90230-5896. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Moore, Lisa can be contacted via phone (310) 392-8636.Contact Information
Primary practice address
4700 Inglewood Blvd
Culver City CA 90230-5896
Phone: (310) 392-8636
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | A173679 | California |
Profile Details
| NPI number | 1063827343 |
|---|---|
| LBN Legal business name | Moore, Lisa |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 25th, 2014 |
| Last updated | Jan 18th, 2022 - about 2 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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