Individual
LISA ELAINE MOY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BSN, RN, IBCLC, RLC
Taxonomy
Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
041250289
IL
163WL0100X
Lactation Consultant (Registered Nurse)
L-27048
IL
Other
Enumeration date
03/13/2023
Last updated
03/13/2023
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