| NPI | 1124204458 |
|---|---|
| Former Name | LAURIE LYNNE MOCH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: FL CH9508) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: GA CHIR008243) |
| Enumeration Date | 2008-01-16 |
| Last Update Date | 2008-07-31 |