Individual provider · Type 1 NPI

Lynette Moore

Rehabilitation Practitioner · Oakland, CA

NPI number 1114806445 Active

Practice location

1266 14th St
Oakland, CA 94607-2247

Fax (510) 531-0258

Specialties and licenses

TaxonomyCodeLicense
Rehabilitation Practitioner Primary 225400000XNone listed

Rehabilitation Practitioner: A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity.

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About NPI 1114806445

Lynette Moore's National Provider Identifier is 1114806445, issued on Aug 30, 2025. The primary taxonomy on file is Rehabilitation Practitioner (225400000X), and the practice location is in Oakland, CA. The record was last updated on Nov 17, 2025.