# LAVERNE L MILLER

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1477549962
- **Gender:** Man
- **Credential:** M.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207QB0002X | Obesity Medicine (Family Medicine) Physician | MD88243 | SC | Yes |
| 207QG0300X | Geriatric Medicine (Family Medicine) Physician | 01035849 | IN | — |
| 207QG0300X | Geriatric Medicine (Family Medicine) Physician | 35045593 | OH | — |

## Other

- **Enumeration date:** 09/21/2005
- **Last updated:** 07/08/2022

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0454235 | — | OH |