IndividualActive
Lamarcus Moore
NPI 1740072768 · Gerontology Nurse Practitioner · Ringgold, LA
Provider details
- NPI number
- 1740072768
- Entity type
- Individual
- Primary specialty
- Gerontology Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Male
- Sole proprietor
- No
- License
- 244389 (LA)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Practice location
2501 Kenneth St
Ringgold, LA 71068-2585
Phone: (318) 214-7948
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 921
Coushatta, LA 71019-0921
Registry dates
- Enumerated
- 2025-05-19
- Last updated
- 2026-05-28
- Certified
- 2026-05-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.