# LAVENDER MOON MIDWIFERY

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1275959694
- **Authorized official:** MICHELE M KAZMIER CNM (FOUNDER/MIDWIFE)
- **Authorized official phone:** (619) 955-9690

## Contact information

- **Practice address:** 2725 E EVANS RD, SAN DIEGO, CA 92106-6066
- **Practice address phone:** (619) 955-9690
- **Mailing address:** 2725 E EVANS RD, SAN DIEGO, CA 92106-6066
- **Mailing address phone:** (619) 955-9690

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 367A00000X | Advanced Practice Midwife | NMW 1992 | CA | Yes |

## Other

- **Enumeration date:** 03/10/2014
- **Last updated:** 07/31/2015