Individual provider · Type 1 NPI

Laurie Katherine Moore, PA

Physician Assistant · Pismo Beach, CA

NPI number 1659694057 Active

Practice location

921 Oak Park Blvd Ste 100A
Pismo Beach, CA 93449-3400

Fax (805) 474-9569

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X20878 (CA)

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 1659694057

Laurie Katherine Moore, PA's National Provider Identifier is 1659694057, issued on Mar 12, 2010. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Pismo Beach, CA. The record was last updated on Sep 27, 2010.