Individual provider · Type 1 NPI
Lavon Rena Moore, NURSE
Licensed Practical Nurse · San Antonio, TX
Practice location
7400 Merton Minter St
San Antonio, TX 78229-4404
Mailing address
5455 Rowley Rd Unit 5103
San Antonio, TX 78240-4825
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Licensed Practical Nurse Primary | 164W00000X | PN-121466 (OH) |
Licensed Practical Nurse: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
2,068 other providers at this address
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About NPI 1154639805
Lavon Rena Moore, NURSE's National Provider Identifier is 1154639805, issued on Sep 15, 2010. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in San Antonio, TX. The record was last updated on Feb 25, 2026.