Individual
DR. LAARNI MAY G MORENO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
303 S NAPPANEE ST, ELKHART, IN 46514-2066
(574) 296-3200
(574) 296-3921
Mailing address
PO BOX 2968, ELKHART, IN 46515-2968
(574) 296-3200
(574) 296-3921
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
01066219A
IN
207R00000X
Internal Medicine Physician
36112099
IL
208M00000X
Hospitalist Physician
Primary
01066219A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
20090980
—
IN
Enumeration date
05/22/2006
Last updated
08/03/2011
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