SearchLouisiana225XP0200X

Mara Moore, LOTR

NPI 1760206049 · on the registry since 2024

Practice

Address
702 Professional Dr N
Shreveport, LA 71105
Phone
(870) 914-1809
Clinicians at this address
4

Registry record

Primary taxonomy
225XP0200X
225XP0200X
Licence states on file
LA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2024-11-13

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 Louisiana