Search › Idaho › 225200000X
Laura Moore
NPI 1760837199 · on the registry since 2016 · sole proprietor
Practice
- Address
- 75 E 400 N
Rupert, ID 83350 - Phone
- (208) 431-8386
Registry record
- Primary taxonomy
- 225200000X
225200000X
- Licence states on file
- ID
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2016-05-04
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 Idaho