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Individual
LON MILLER
Active
Individual
LON MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
M6077
ID
207P00000X
Emergency Medicine Physician
MD00030099
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003836400
—
ID
05
—
8167116
—
WA
Enumeration date
07/26/2006
Last updated
10/27/2011
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