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Individual
LEE PATRICK MILLER
Active
Individual
LEE PATRICK MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
4092
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0919563
—
IA
05
—
10025286300
—
NE
05
—
124216400
—
MN
01
—
240005059
RAILROAD MEDICARE
—
05
—
7301460
—
SD
Enumeration date
01/16/2006
Last updated
06/20/2011
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