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Mr. Lance S. Moore
Rehabilitation Practitioner in Culver City, California
NPI 1902016421

Lance S. Moore is a Rehabilitation Practitioner based in Culver City, CA. Lance S. Moore practices in Culver City, CA. The NPI Number for Lance S. Moore is 1902016421 and holds a License No. (California).

The current practice location address for Lance S. Moore is 6400 Green Valley Cir Apt 302, Culver City, CA and can be reached out via phone at 310-394-6889 and via fax at 310-394-6883.

Location: 6400 Green Valley Cir Apt 302, Culver City, CA, 90230-7008
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1902016421
Provider Name
Lance S. Moore
Credential
Provider Entity Type
Individual
Gender
Male
Address
6400 Green Valley Cir Apt 302, Culver City, CA, 90230-7008
Phone Number
310-394-6889
Fax Number
310-394-6883
Provider Enumeration Date
05/23/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
6400 Green Valley Cir Apt 302
City
Culver City
State
California
Zip
90230-7008
Phone Number
310-394-6889
Fax Number
310-394-6883
person
Provider Business Mailing Address Details
Address
6400 Green Valley Cir Apt 302
City
Culver City
State
California
Zip
90230-7008
Phone Number
310-394-6889
Fax Number
310-394-6883
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Rehabilitation Practitioner
Speciality
-
Taxonomy
225400000X
License No.
()
Definition
A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity.
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