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NPI Code Detail

MEDICARE: LINDSAY MOORE

MEDICARE: LINDSAY MOORE
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
1363A00000XPhysician Assistant

General Provider Information

NPI Number : 1013660448
Entity Type Code : Individual
Provider Name (Legal Business Name) : LINDSAY MOORE
Provider Business Mailing Address
First Line : 25 VALLEY BEECH LN
Second Line :
City : MALVERN
State : PA
Zip : 19355-8640
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3411 SILVERSIDE RD STE 100
Second Line :
City : WILMINGTON
State : DE
Zip : 19810-4811
Country : US
Telephone Number : 302-543-5454
Fax Number : 302-327-4200
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/26/2022
Last Update Date : 07/18/2022

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Directions to “ LINDSAY MOORE ” Practice Location

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