Individual
MRS. LILLIANNE CHRISTINE MOODY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CLC
Contact information
Practice address
4051 N SUPERSTITION CT, PRESCOTT VALLEY, AZ 86314-7630
(928) 830-1642
Mailing address
4051 N SUPERSTITION CT, PRESCOTT VALLEY, AZ 86314-7630
(928) 830-1642
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
Primary
348436
AZ
Other
Enumeration date
03/22/2024
Last updated
03/22/2024
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