Lauren Lee Moore, CD

NPI #1205272564 in Beloit, Wisconsin

Provider Information

NPI Number: 1205272564
Entity Type: Individual
Name: Lauren Lee Moore, CD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dietitian, Registered
Credential: CD
Enumeration Date: May 14, 2013
Last Updated: May 14, 2013

Practice Location

Address: 1905 E HUEBBE PKWY
Address 2: 1905 E. HUEBBE PARKWAY
City: Beloit
State: Wisconsin
ZIP Code: 53511-1842
Phone: (608) 364-2200

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dietitian, Registered	133V00000X	Primary

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