Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Laurie Katherine Moore, PA

Individual provider Physician Assistant · NPI 1659694057

Laurie Katherine Moore, PA is a Physician Assistant in Pismo Beach, California. Licensed in California. Registered with an NPI since 2010.

Licensed in
CA
In the registry since
2010
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

921 Oak Park Blvd Ste 100A
Pismo Beach, CA 93449-3400
Phone: (805) 474-9143
Fax: (805) 474-9569
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 20878 (CA)

Record details

NPI number1659694057
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedMarch 12, 2010
Last updated in NPPESSeptember 27, 2010

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