DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: MRS. LORI LYNN MOOG

MEDICARE: MRS. LORI LYNN MOOG
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1171W00000XContractor

General Provider Information

NPI Number : 1780898734
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. LORI LYNN MOOG
Provider Business Mailing Address
First Line : 1258 LEA RANCH DR.
Second Line :
City : LAS CRUCES
State : NM
Zip : 88012
Country : US
Telephone Number : 505-373-0850
Fax Number :
Provider Business Practice Location Address
First Line : 1258 LEA RANCH DR.
Second Line :
City : LAS CRUCES
State : NM
Zip : 88012
Country : US
Telephone Number : 505-373-0850
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/09/2007
Last Update Date : 07/08/2007

Similar Medicare Providers

1982535282 — MICHELLE AU
Practice Location Address:
3415 BATAAN MEMORIAL W
LAS CRUCES, NM
88012-5012
Practice Phone: 505-392-3482
Practice Fax:
1588157317 — MR. MICHAEL VEILLEUX MS, OTR/L, CTAT
Practice Location Address:
4011 PINERIDGE RUN
LAS CRUCES, NM
88012-6020
Practice Phone: 917-716-9931
Practice Fax:
1790614477 — ETHAN CAGLE
Practice Location Address:
3415 BATAAN MEMORIAL W
LAS CRUCES, NM
88012-5012
Practice Phone: 505-392-3482
Practice Fax:
1184584195 — TIFFANY ORONA
Practice Location Address:
3621 MARION LN
LAS CRUCES, NM
88012-7579
Practice Phone: 575-520-6074
Practice Fax:
1689399701 — AMBER NICOLE TELLES
Practice Location Address:
3621 MARION LN
LAS CRUCES, NM
88012-7579
Practice Phone: 575-520-6074
Practice Fax: 505-929-6200
1083544142 — ANALEE HERNANDEZ
Practice Location Address:
3334 NEPTUNE DR
LAS CRUCES, NM
88012-7730
Practice Phone: 575-556-4445
Practice Fax:
1124958962 — BRENDA ROCHA
Practice Location Address:
3415 BATAAN MEMORIAL W
LAS CRUCES, NM
88012-5012
Practice Phone: 505-392-3482
Practice Fax:

Directions to “ MRS. LORI LYNN MOOG ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.