Mr. Lance S. Moore
Mr. Lance S. Moore is a Rehabilitation Practitioner in Culver City, California. Practices as a sole proprietor. Registered with an NPI since 2007.
- In the registry since
- 2007
Practice location Address checks out
6400 Green Valley Cir Apt 302Culver City, CA 90230-7008
Phone: (310) 394-6889
Fax: (310) 394-6883
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Specialties & licences
| Rehabilitation Practitioner (primary) | Taxonomy 225400000X |
|---|
Record details
| NPI number | 1902016421 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | May 23, 2007 |
| Last updated in NPPES | June 7, 2013 |
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