Luz Stella Moreno MD

NPI 1003877549 - Family Medicine - 207Q00000X

NPI Details
NPI 1003877549
Gender Female
Enumeration Date 03/31/2006
Last Updated 05/30/2008
Entity Type Individual
Active Over 10 years ago
Practice Location
637 W MITCHELL ST
MILWAUKEE WI, 53204-3513, US
Phone (414) 383-8989
Fax
Business Location
637 W MITCHELL ST
MILWAUKEE WI, 53204-3513, US
Phone (414) 383-8989
Fax
Toxanomy
Taxonomy Code 207Q00000X
License State Wisconsin
License Number 28128
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According to our database, Luz Stella Moreno MD NPI is 1003877549, taxonomy code is 207Q00000X and license number is 28128, license state is located at Wisconsin. Luz Stella Moreno MD physically located at 637 W Mitchell St, Milwaukee WI, 53204-3513. NPI Number Luz Stella Moreno MD has the Individual type.

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1003877549 NPI number is provided on an as is basis without warranty of any kind. 1003877549 is maintained by the National Plan & Provider Enumeration System. The contents of Luz Stella Moreno MD are for informational purposes only.