Individual
LISA M MOELLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LACTATION CONSULTANT
Contact information
Practice address
32649 WOLFS TRL, SORRENTO, FL 32776-7816
(352) 552-2025
Mailing address
32649 WOLFS TRL, SORRENTO, FL 32776-7816
(352) 552-2025
Taxonomy
Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
9384206
FL
Other
Enumeration date
04/15/2021
Last updated
04/15/2021
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