OrganizationActive
Leger-Moore Management Consultant, LLC
NPI 1790045433 · Interventional Pain Medicine Physician · Okemos, MI
Provider details
- NPI number
- 1790045433
- Entity type
- Organization
- Primary specialty
- Interventional Pain Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Susan Moore, Ceo(586) 531-8882
- License
- 4301100643 (MI)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
2422 Jolly Rd
Ste. 200
Okemos, MI 48864-3686
Phone: (517) 349-9330
Fax: (517) 349-7131
Approximate (ZIP-level) locationGet directions
Mailing address
2422 Jolly Rd
Okemos, MI 48864-3686
Registry dates
- Enumerated
- 2012-05-28
- Last updated
- 2012-05-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.