Search › Illinois › 104100000X
Lacy Moore, LSW
NPI 1649056417 · on the registry since 2023 · sole proprietor
Practice
- Address
- 612 N 11th St
Quincy, IL 62301 - Phone
- (217) 224-9484
- Fax
- (217) 228-8765
- Organisation at this address
- Siu Healthcare
Siuphysicians & Surgeons, Inc.
Board Of Trustees Of Southern Illinois University
Board Of Trustees Of Southern Illinois UniversityInferred from a shared address, not stated in the registry. - Clinicians at this address
- 87
Registry record
- Primary taxonomy
- 104100000X
104100000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2023-09-06
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 Illinois