Most Relevant Information
Provider Data
| NPI Number: | 1003014689 |
| Provider Name: | MEREDITH MOORE MT-BC |
| Entity Type: | Individual |
| Taxonomy Code: | 171M00000X |
| Specialty: | Case Manager/Care Coordinator |
| License Number: |
Most Important Dates
| Enumeration Date: | 07/05/2007 |
| Last Updated: | 07/08/2007 |
Provider Practice Location
408 HILTON DR
LANCASTER
PA
176035706
Practice Location Phone/Fax
| Phone: | 7173919995 |
| Fax: |
Provider Mailing Location
408 HILTON DR
LANCASTER
PA
176035706
Provider Mailing Phone/Fax
| Phone: | 7173919995 |
| Fax: |