Individual
LAUREN LEE MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CD
Contact information
Practice address
1905 E HUEBBE PKWY, 1905 E. HUEBBE PARKWAY, BELOIT, WI 53511-1842
(608) 364-2200
(608) 363-7395
Mailing address
1905 E HUEBBE PKWY, BELOIT HEALTH SYSTEM INC, BELOIT, WI 53511-1842
(608) 364-2200
(608) 363-7395
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
164-005483
IL
133V00000X
Registered Dietitian
Primary
2162-29
WI
Other
Enumeration date
05/14/2013
Last updated
05/14/2013
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