Lisa Renee Moore, LPN is a
Licensed Vocational Nurse based in Parkersburg, West Virginia. Lisa Renee Moore is licensed to practice in West Virginia (license number 39468) and her current practice location is
184 Holiday Hills Dr, Parkersburg, West Virginia. She can be reached at her office (for appointments etc.) via phone at
(304) 424-2400.
NPI number for Lisa Renee Moore is 1003565409 and her current mailing address is 184 Holiday Hills Dr, Parkersburg, West Virginia. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1003565409.
Provider's Profile
Full Name | Lisa Renee Moore |
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Gender | Female |
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Speciality | Licensed Vocational Nurse |
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Location | 184 Holiday Hills Dr, Parkersburg, West Virginia |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1003565409
- Provider Enumeration Date: 03/22/2022
- Last Update Date: 03/22/2022
Medical Identifiers
Medical identifiers for Lisa Renee Moore such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1003565409 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
164X00000X | Licensed Vocational Nurse | 39468 (West Virginia) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Lisa Renee Moore is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Lisa Renee Moore, LPN 184 Holiday Hills Dr, Parkersburg, WV 26104-8006 Ph: (304) 424-2400 | Lisa Renee Moore, LPN 184 Holiday Hills Dr, Parkersburg, WV 26104-8006 Ph: (304) 424-2400 |
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