Individual
DIANNA L MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN, IBCLC
Contact information
Practice address
85 NORTH HEPTNER RD, ROZET, WY 82727
(307) 670-2110
Mailing address
85 NORTH HEPTNER RD, ROZET, WY 82727
(307) 670-2110
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
Primary
L-97968
—
Other
Enumeration date
01/22/2020
Last updated
01/22/2020
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