Provider Demographics
NPI:1396984233
Name:MOORE, LAURA PHILBRICK (ND, MSAOM, LAC)
Entity type:Individual
Prefix:DR
First Name:LAURA
Middle Name:PHILBRICK
Last Name:MOORE
Suffix:
Gender:F
Credentials:ND, MSAOM, LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:42 HARDING ROAD
Mailing Address - Street 2:
Mailing Address - City:PORTSMOUTH
Mailing Address - State:NH
Mailing Address - Zip Code:03801
Mailing Address - Country:US
Mailing Address - Phone:603-969-8148
Mailing Address - Fax:603-382-5792
Practice Address - Street 1:155 BORTHWICK AVE, WEST
Practice Address - Street 2:SUITE #102
Practice Address - City:PORTSMOUTH
Practice Address - State:NH
Practice Address - Zip Code:03801
Practice Address - Country:US
Practice Address - Phone:603-969-8148
Practice Address - Fax:603-969-8148
Is Sole Proprietor?:Yes
Enumeration Date:2009-02-17
Last Update Date:2013-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath
No171100000XOther Service ProvidersAcupuncturist