Individual
LAVERNE J MOORE-WASHINGTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
IRWIN ARMY COMMUNITY HOSPITAL (ATTN MCSS-MDC-QM), 600 CAISSON HILL ROAD, FORT RILEY, KS 66442-5037
(785) 239-7155
(785) 239-7364
Mailing address
IRWIN ARMY COMMUNITY HOSPITAL (ATTN MCSS-MDC-QM), 600 CAISSON HILL ROAD, FORT RILEY, KS 66442-5037
(785) 239-7155
(785) 239-7364
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
MW008535L
PA
Other
Enumeration date
09/07/2006
Last updated
07/08/2007
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