NPI 1376142620
Lakisha Davonda Moore
Practice location
- Address
- 5 W Queens Way STE 203, Hampton, VA 23669-4084
- Phone
- (757) 964-6297
- Mailing address
- 4060 Victoria Blvd APT 107, Hampton, VA 23669-4284
Registered specialties
Nurse's Aide
Primary
Registry record
- NPI
- 1376142620
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 19 Oct 2020
- Record last updated
- 18 Jan 2021
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.