Individual
LAURA LYNN MORONEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
42600 MIRAGE RD, RANCHO MIRAGE, CA 92270-4127
(760) 423-4000
(760) 318-8103
Mailing address
42600 MIRAGE RD, RANCHO MIRAGE, CA 92270-4127
(760) 423-4000
(760) 318-8103
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
95004453
CA
Other
Enumeration date
07/12/2018
Last updated
09/09/2020
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