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

Lisa Moore, MSED

Individual provider Specialist · NPI 1891056966

Lisa Moore, MSED is a Specialist in Holtsville, New York. Practices as a sole proprietor. Registered with an NPI since 2012.

In the registry since
2012

Practice location Address checks out

41 Cherry Ave
Holtsville, NY 11742-1750
Phone: (631) 654-3561
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X

Record details

NPI number1891056966
Entity typeIndividual (Type 1)
GenderFemale
Credentials MSED
Sole proprietorYes
NPI enumeratedJune 5, 2012
Last updated in NPPESJune 22, 2012
Mailing address41 Cherry Ave, Holtsville, NY 11742-1750

Other providers in Holtsville