Individual
MRS. LIANNE ELIZABETH MOURREALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
IBCLC
Contact information
Practice address
5301 E GRANT RD, TUCSON, AZ 85712-2805
(520) 324-5730
Mailing address
8941 E SUGAR SUMAC ST, TUCSON, AZ 85747-5325
(520) 444-7890
Taxonomy
Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
RN109725
AZ
Other
Enumeration date
10/18/2018
Last updated
10/18/2018
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