Lisa Marie Moore, DO | |
5725 Mark Dabling Blvd Ste 100, Colorado Springs, CO 80919-2221 | |
(719) 473-3272 | |
Not Available |
Full Name | Lisa Marie Moore |
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Gender | Female |
Speciality | Psychiatry & Neurology - Neurology |
Location | 5725 Mark Dabling Blvd Ste 100, Colorado Springs, Colorado |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1265993695 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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2084N0400X | Psychiatry & Neurology - Neurology | 72657 (Colorado) | Primary |
Entity Name | Colorado Springs Neurological Associates, P.c. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1407805948 PECOS PAC ID: 9638073612 Enrollment ID: O20031121000213 |
Mailing Address | Practice Location Address |
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Lisa Marie Moore, DO 2312 N Nevada Ave Ste 100, Colorado Springs, CO 80907-5307 Ph: (719) 473-3272 | Lisa Marie Moore, DO 5725 Mark Dabling Blvd Ste 100, Colorado Springs, CO 80919-2221 Ph: (719) 473-3272 |
Justin Cheongsiatmoy, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 24 S Weber St Ste 200, Colorado Springs, CO 80903 Phone: 424-652-8506 | |
Kevin K. Snyder, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 1115 Elkton Dr Ste 300, Colorado Springs, CO 80907 Phone: 719-373-9703 Fax: 719-631-7017 | |
Dr. Laura Jane Elder, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 4215 Stonehaven Dr, Colorado Springs, CO 80906 Phone: 972-816-7870 | |
Dr. Michelle Louise Raphael, D.O. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 4110 Briargate Pkwy Ste 140, Colorado Springs, CO 80920 Phone: 719-365-7300 Fax: 719-365-7301 | |
William Tyler Stone, DO Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 1715 N Weber St, Suite 120, Colorado Springs, CO 80907 Phone: 719-722-4929 Fax: 719-358-9860 | |
Dr. Abdurahman Said Elkhetali, Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 1400 E Boulder St Ste 700, Colorado Springs, CO 80909 Phone: 719-365-7300 Fax: 719-365-7301 | |
Roy Alan Kanter, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 4110 Briargate Pkwy Ste 405, Colorado Springs, CO 80920 Phone: 719-365-7300 Fax: 719-365-7301 |