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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

LAURIE KATHERINE MOORE, PA

Active

LAURIE KATHERINE MOORE, PA is a Physician Assistant healthcare provider located in PISMO BEACH, California. NPI 1659694057 is currently active in the NPPES registry. Verify at CMS.

Physician Assistant · PISMO BEACH, CA

Registration Details

NPI Number
1659694057
Provider Type
Individual
Gender
Female
NPI Issued
Mar 12, 2010 (16.242300159994 yrs)
Last Updated
Sep 27, 2010
License
20878 (CA)

Practice Information

Address
921 OAK PARK BLVD STE 100A
PISMO BEACH, CA, 934493400
Browse CA providers · Browse ZIP 93449
Phone
8054749143
Fax
8054749569
Primary Specialty
Physician Assistant
363A00000X

Other Physician Assistant Providers in PISMO BEACH, CA

Name Credential NPI
MRS. MARY ANN SCHNEIDER PA-C 1750366092
MS. STACY D MIERAU PA-C 1629054895
KIMEN M COLGAN PA 1699739227
JENNIFER LEE GINGRICH P.A.-C 1578506614
ALISON WATT PA-C 1669688537
MR. CRAIG DAVID GALLAGHER PA 1538348206
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.