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Lily Moore
NPI 1386280592 · on the registry since 2019 · sole proprietor
Practice
- Address
- 515 E Market St Apt 502
Indianapolis, IN 46204 - Phone
- (317) 696-8404
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 363LF0000X
363LF0000X
- Also registered as
- 363LA2200X
- Licence states on file
- IN
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2021-07-30
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Indiana