Individual
MEGAN MCCONKEY MOELLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
IBCLC, LMT, CST-T
Contact information
Practice address
600 E STATE ST STE 100, EAGLE, ID 83616-6082
(208) 912-5682
Mailing address
2687 N SILVER WOLF AVE, STAR, ID 83669-1073
(208) 440-4570
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
Primary
—
—
Other
Enumeration date
07/28/2026
Last updated
07/28/2026
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