NPI 1114357068
Lisa Moore
Practice location
- Address
- Route 1 Box 35d, Boley, OK 74829
- Phone
- (918) 667-3367
- Fax
- (918) 667-3387
- Mailing address
- PO Box 218, Boley, OK 74829
Registered specialties
Case Manager/Care Coordinator
Primary
Registry record
- NPI
- 1114357068
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 13 Nov 2013
- Record last updated
- 13 Nov 2013
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.