Individual
LAUREN MOFFATT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1213 MYSTIC DR, LOGANVILLE, GA 30052-9008
(770) 847-6812
Mailing address
4160 LOGAN DR UNIT 1103, LOGANVILLE, GA 30052-9509
(770) 847-6812
Taxonomy
Speciality
Code
Description
License number
State
175F00000X
Naturopath
Primary
—
—
Other
Enumeration date
05/18/2023
Last updated
05/18/2023
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