Individual provider · Type 1 NPI

Laurie Anne Moore, P.A.

Physician Assistant · Fort Leonard Wood, MO

NPI number 1295713246 Active

Practice location

126 Missouri Ave, Mcxp-Ccs-Cr
Fort Leonard Wood, MO 65473-8952

Call (573) 596-0417 Map

Fax (573) 596-0524

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X118221 (MO)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1295713246

Laurie Anne Moore, P.A.'s National Provider Identifier is 1295713246, issued on Jan 9, 2006. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Fort Leonard Wood, MO. The record was last updated on Jul 13, 2026.