Search › Michigan › 207QA0401X
Cicely Moreno, M.D
NPI 1285171827 · on the registry since 2017
Practice
- Address
- 4 Longmeadow Village Dr
Niles, MI 49120 - Phone
- (269) 684-6000
- Organisation at this address
- Lakeland Medical Practices
Lakeland Medical Practices
Lakeland Family Care Of NilesInferred from a shared address, not stated in the registry. - Clinicians at this address
- 9
Additional practice sites
- 6418 Deans Hill Rd, Berrien Center, MI
- 42 N Saint Joseph Ave Ste 300, Niles, MI
- 133 W Main St, Benton Harbor, MI
- 1234 Napier Ave, Saint Joseph, MI
- 5043 E 81st Ave, Merrillville, IN
Registry record
- Primary taxonomy
- 207QA0401X
207QA0401X
- Also registered as
- 207Q00000X
- Licence states on file
- MI, IN
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2026-01-16
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan