| Doctor Name: | LAURA ELIZABETH MOELLER |
| NPI Number: | 1184650905 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MD |
| License Number: | 01061438A |
| Business Practice Address: | 1605 Se Delaware Ave Suite F Ankeny, IA - 500214595 |
| Business Phone Number: | 5159645555 |
| Business Fax Number: | 5159645505 |
| Mailing Address: | 1605 Se Delaware Ave, Suite F ANKENY |
| State: | IA |
| Postal Code: | 500214595 |
| Phone Number: | 5159645555 |
| Fax Number: | 5159645505 |
| NPI Enumeration Date: | 06/23/2006 |
| NPI Last Update Date: | 05/19/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 01061438A |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | IN |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |