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Individual
LALA ANN MINER
Active
Individual
LALA ANN MINER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
AC003392
MD
363LP2300X
Primary Care Nurse Practitioner
Primary
AC003392
MD
Other
Enumeration date
11/05/2020
Last updated
08/19/2021
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