Individual
DR. LISA WILLIAMS MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
108 BEECH DR., EDGEWOOD, KY 41017
(859) 331-8655
(859) 341-7198
Mailing address
108 BEECH DR., EDGEWOOD, KY 41017
(859) 331-8655
(859) 341-7198
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
24589
KY
208000000X
Pediatrics Physician
35 05 3614
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000033740
ANTHEM
—
01
—
0637329
AETNA
—
01
—
1220582
UNITED HEALTH CARE OF OHI
—
05
—
64245897
—
KY
Enumeration date
02/09/2006
Last updated
01/27/2020
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