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Lisa Moore, MSED
Specialist in Holtsville, New York
NPI 1891056966

Lisa Moore is a Specialist based in Holtsville, NY. Lisa Moore practices in Holtsville, NY and has the professional credentials of MSED. The NPI Number for Lisa Moore is 1891056966 and holds a License No. (New York).

The current practice location address for Lisa Moore is 41 Cherry Ave, Holtsville, NY and can be reached out via phone at 631-654-3561.

Location: 41 Cherry Ave, Holtsville, NY, 11742-1750
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1891056966
Provider Name
Lisa Moore
Credential
MSED
Provider Entity Type
Individual
Gender
Female
Address
41 Cherry Ave, Holtsville, NY, 11742-1750
Phone Number
631-654-3561
Fax Number
Provider Enumeration Date
06/05/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
41 Cherry Ave
City
Holtsville
State
New York
Zip
11742-1750
Phone Number
631-654-3561
Fax Number
person
Provider Business Mailing Address Details
Address
41 Cherry Ave
City
Holtsville
State
New York
Zip
11742-1750
Phone Number
631-654-3561
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
()
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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