Healthcare Provider Details

I. General information

NPI: 1396609780
Provider Name (Legal Business Name): LISA MOSER RRT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/11/2025
Last Update Date: 12/11/2025
Certification Date: 12/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9808 AVIARY HILL WAY
CHARLOTTE NC
28214-7138
US

IV. Provider business mailing address

9808 AVIARY HILL WAY
CHARLOTTE NC
28214-7138
US

V. Phone/Fax

Practice location:
  • Phone: 828-817-3914
  • Fax:
Mailing address:
  • Phone: 828-817-3914
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2279E1000X
TaxonomyEducational Registered Respiratory Therapist
License Number3190
License Number StateNC
# 2
Primary TaxonomyN
Taxonomy Code174H00000X
TaxonomyHealth Educator
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: