Livmoore LLC
Organization Active NPI Primary Care Clinic/Center · Oxford, MS
NPI 1104531425 · NPPES record last updated Jan 20, 2023
Key facts
- NPI
- 1104531425
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Primary Care Clinic/Center 261QP2300X
- Legal business name
- LIVMOORE LLC
- Practice address
- 979 Highway 6 W Ste C&D
Oxford, MS 38655-9079 - Phone
- (662) 444-7273
- NPI assigned
- Jan 20, 2023
- Organization subpart
- No
Authorized official
- Name
- Lonnie Latrell Moore
- Title
- Mr
- Phone
- (662) 444-7273
Practitioners 1
-
Lonnie L Moore, NP
National Provider Directory
Locations
1022 Martin Luther King Dr
Marks, MS 38646
Phone (662) 326-3500
979 Highway 6 W
Ste Cd
Oxford, MS 38655
Phone (662) 444-7273
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Infusion Therapy Clinic/Center | 261QI0500X | |||
| Primary Care Clinic/Center | 261QP2300X | Yes |
Addresses
Primary practice location
979 Highway 6 W Ste C&D
Oxford, MS 38655-9079
Mailing address
1022 Martin Luther King Dr
Marks, MS 38646-1832
Phone (662) 444-7273
Other providers in Oxford, MS
- Lisa Theresa Lippincott
- Reaver Sharda Lipson
- Emily Liske
- Amy Livingston
- Magnolia B Livingston
- Kendra Antoinette Lloyd
- Lillian Chloe Lloyd
- Laurin Courtni Loftin
- Jeanie Anne Lollar
- Charles A Long
All providers in Oxford, MS · Primary Care Clinic/Center in Mississippi
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 20, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.