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Individual

MRS. ELIZABETH MORENO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP-C

Contact information

Practice address
505 N CLIPPERT ST, LANSING, MI 48912-4701
(517) 999-2273
Mailing address
1641 BIRCHWOOD DR, OKEMOS, MI 48864-2907
(517) 203-9059

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704273355
MI

Other

Enumeration date
01/08/2021
Last updated
01/08/2021
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