Moore, Lydia Irene

Moore, Lydia Irene is an individual health care provider with primary practice located at 23961 Calle De La Magdalena Ste 334 , Laguna Hills CA 92653-3665. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Moore, Lydia Irene can be contacted via phone (949) 951-6019.

Contact Information

Primary practice address
23961 Calle De La Magdalena Ste 334 Laguna Hills CA 92653-3665
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X NPF7346 California

Profile Details

NPI number 1649496811
LBN Legal business name Moore, Lydia Irene
Credentials Certified Pediatric Nurse Practitioner (CPNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 17th, 2007
Last updated Jul 8th, 2007 - about 17 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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