| Laurie Katherine Moore, PA | |
|
921 Oak Park Blvd Ste 100a, Pismo Beach, CA 93449-3400 | |
| (805) 474-9143 | |
| (805) 474-9569 |
| Full Name | Laurie Katherine Moore |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Location | 921 Oak Park Blvd Ste 100a, Pismo Beach, California |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659694057 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 20878 (California) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Laurie Katherine Moore, PA 921 Oak Park Blvd Ste 100a, Pismo Beach, CA 93449-3400 Ph: (805) 474-9143 | Laurie Katherine Moore, PA 921 Oak Park Blvd Ste 100a, Pismo Beach, CA 93449-3400 Ph: (805) 474-9143 |
Ms. Marisa Elizabeth Ayers, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 931 Oak Park Blvd Ste 101, Pismo Beach, CA 93449 Phone: 805-474-2600 Fax: 805-474-2607 | |
Mr. Craig David Gallagher, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 800 Price Canyon Rd, Pismo Beach, CA 93449 Phone: 805-545-4441 | |
Jennifer Lee Gingrich, P.A.-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 877 Oak Park Blvd, Pismo Beach, CA 93449 Phone: 805-474-8450 | |
Ms. Stacy D Mierau, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 921 Oak Park Blvd Ste 204, Pismo Beach, CA 93449 Phone: 805-473-4949 Fax: 805-473-3165 | |
Cort Darcy Thompson, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 921 Oak Park Blvd Ste 202, Pismo Beach, CA 93449 Phone: 805-473-7818 Fax: 805-473-7820 | |
Allyson Marie Holman, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 877 Oak Park Blvd, Pismo Beach, CA 93449 Phone: 805-474-8450 Fax: 805-474-8454 |