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Organization
LISA MILLER ORAL FACIAL SURGERY
Active
Organization
LISA MILLER ORAL FACIAL SURGERY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISA MILLER DMD/MD (ORAL SURGEON)
(205) 789-5075
Entity
Organization
Contact information
Practice address
301 W. LAUREL AVENUE, FOLEY, AL 36535-1920
(251) 320-3205
(251) 320-3204
Mailing address
301 W. LAUREL AVENUE, FOLEY, AL 36535-1920
(251) 320-3205
(251) 320-3204
Taxonomy
Speciality
Code
Description
License number
State
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
177379
—
AL
Enumeration date
09/09/2015
Last updated
06/11/2021
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