Individual provider · Type 1 NPI

Lloyd David Moore, PA-C

Medical Physician Assistant · Winchester, KY

NPI number 1780644906 Active

Practice location

170 Pedro Way
Winchester, KY 40391-8354

Fax (859) 276-5939

Mailing address

100 E Liberty St, Suite 800
Louisville, KY 40202-1434

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XPA 380 (KY)

Medical Physician Assistant: Definition to come...

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About NPI 1780644906

Lloyd David Moore, PA-C's National Provider Identifier is 1780644906, issued on Mar 23, 2006. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Winchester, KY. The record was last updated on Mar 28, 2016.