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

Lillian A Moore, PCT, CNA, PHLEBOTOMIS

Individual provider Home Health Aide · NPI 1295351013

Lillian A Moore, PCT, CNA, PHLEBOTOMIS is a Home Health Aide in Palm Coast, Florida. Practices as a sole proprietor. Licensed in Florida.

Licensed in
FL
In the registry since
2020

Practice location Address checks out

26 Ponderosa Ln
Palm Coast, FL 32164-6750
Phone: (386) 283-3116
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Home Health Aide (primary) Taxonomy 374U00000X · Licence CNA269409 (FL)

Record details

NPI number1295351013
Entity typeIndividual (Type 1)
GenderFemale
Credentials PCT , CNA , PHLEBOTOMIS
Sole proprietorYes
NPI enumeratedJune 17, 2020
Last updated in NPPESJune 17, 2020
Certification dateJune 17, 2020

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