Lisa Renee Moore, LPN
Licensed Vocational Nurse in Parkersburg, WV. Individual provider (NPI-1).
NPI number1003565409
StatusActive
Last updated in NPPESMar 22, 2022
Details
- NPI
- 1003565409
- Entity type
- Individual (NPI-1)
- Name
- Lisa Renee Moore
- Credential
- LPN
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Mar 22, 2022
- Certification date
- Mar 22, 2022
- Last updated
- Mar 22, 2022
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 164X00000X | Licensed Vocational Nurse | 39468 | WV | Yes |
Practice location
184 Holiday Hills DrParkersburg, WV 26104-8006
Phone 304-424-2400 · Fax 304-420-9014
Mailing address
184 Holiday Hills DrParkersburg, WV 26104-8006
Phone 304-424-2400 · Fax 304-420-9014
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Other Licensed Vocational Nurse providers in Parkersburg, WV
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