Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

MRS. LAURIE ANNE MOORE P.A.
NPI 1295713246
Physician Assistant in Fort Leonard Wood, MO

Active since January 09, 2006
126 MISSOURI AVE, MCXP-CCS-CR, FORT LEONARD WOOD, MO 65473(573) 596-0417(573) 596-0524 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Mrs. Laurie Anne Moore P.a. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. LAURIE ANNE MOORE P.A. (NPI 1295713246) is an individual physician assistant in Fort Leonard Wood, Missouri, licensed in Missouri (118221) and active in the NPI registry since January 2006.

NPPES Registry Identity

NPI1295713246
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMRS. LAURIE ANNE MOORECredential: P.A.
Location Address126 MISSOURI AVE, MCXP-CCS-CRFort Leonard Wood, MO 65473-8952
Mailing Address126 Missouri Ave, Mcxp-ccs-crFort Leonard Wood, MO 65473-8952 · (573) 596-0417 · Fax (573) 596-0524
Fax(573) 596-0524
Sole ProprietorNo
Enumeration DateJanuary 9, 2006
Last NPPES UpdateJuly 13, 2026
NPI 1295713246 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in MO · 118221
Definition

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, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

126 MISSOURI AVE, Fort Leonard Wood, MO 65473

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Anesthetist, Certified Registered
126 MISSOURI AVE, GLWACH ATTN MCXP-CCS-CR
FORT LEONARD WOOD, MO 65473
Physician Assistant
126 MISSOURI AVE
FORT LEONARD WOOD, MO 65473
Nurse Anesthetist, Certified Registered
126 MISSOURI AVE, GLWACH (ATTN: SHEILA HAM)
FORT LEONARD WOOD, MO 65473
Dietitian, Registered
126 MISSOURI AVE, GENERAL LEONARD WOOD ARMY COMMUNITY HOSPITAL
FORT LEONARD WOOD, MO 65473
Nurse Practitioner (Adult Health)
126 MISSOURI AVE
FORT LEONARD WOOD, MO 65473
Psychiatry & Neurology (Psychiatry)
126 MISSOURI AVE
FORT LEONARD WOOD, MO 65473
Social Worker (Clinical)
126 MISSOURI AVE, MCXP-CCS-CR
FORT LEONARD WOOD, MO 65473
Physician Assistant (Medical)
126 MISSOURI AVE, MCXP-CCS-CR
FORT LEONARD WOOD, MO 65473

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1295713246, enumerated as an "individual" on January 09, 2006.

The provider is located at 126 MISSOURI AVE MCXP-CCS-CR FORT LEONARD WOOD, MO 65473 and the phone number is (573) 596-0417.

Physician Assistant with taxonomy code 363A00000X.