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Laura Moore
NPI 1629945944 · on the registry since 2025
Practice
- Address
- 29488 Woodward Ave # 507
Royal Oak, MI 48073 - Phone
- (248) 571-7040
- Fax
- (313) 217-3246
Registry record
- Primary taxonomy
- 101Y00000X
101Y00000X
- Also registered as
- 101YA0400X
- Licence states on file
- MI
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2025-10-21
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan