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NPI Code Detail

MEDICARE: MARGARET MOORE LACTATION COUNSELOR

MEDICARE: MARGARET MOORE LACTATION COUNSELOR
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1174N00000XLactation Consultant (Non-RN)

General Provider Information

NPI Number : 1326790767
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARGARET MOORE LACTATION COUNSELOR
Provider Business Mailing Address
First Line : 314 E STATE ST STE 200
Second Line :
City : ITHACA
State : NY
Zip : 14850-4318
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 314 E STATE ST STE 200
Second Line :
City : ITHACA
State : NY
Zip : 14850-4318
Country : US
Telephone Number : 347-668-7311
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/26/2022
Last Update Date : 01/26/2022

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Directions to “ MARGARET MOORE LACTATION COUNSELOR” Practice Location

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