Mrs. Lavon Rena Moore, NURSE
Mrs. Lavon Rena Moore, NURSE is a Licensed Practical Nurse in San Antonio, Texas. Practices as a sole proprietor. Licensed in Ohio.
- Licensed in
- OH
- In the registry since
- 2010
Practice location Address checks out
7400 Merton Minter StSan Antonio, TX 78229-4404
Phone: (210) 617-5300
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Specialties & licences
| Licensed Practical Nurse (primary) | Taxonomy 164W00000X · Licence PN-121466 (OH) |
|---|
Record details
| NPI number | 1154639805 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | NURSE |
| Sole proprietor | Yes |
| NPI enumerated | September 15, 2010 |
| Last updated in NPPES | February 25, 2026 |
| Certification date | February 25, 2026 |
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