Individual
LORI BETH MILLIRON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP
Contact information
Practice address
1010 VALLEY ST, DAYTON, OH 45404-2070
(937) 641-4000
(937) 641-4500
Mailing address
PO BOX 933432, CLEVELAND, OH 44193-0039
(937) 641-5072
(937) 641-6129
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
RN.315948
OH
363LP0200X
Pediatric Nurse Practitioner
Primary
COA 09845NP
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000722789
BCBS OHIO
OH
05
—
0053983
—
OH
01
—
1043410830
MEDICAL MUTUAL OF OHIO
OH
01
—
421534506178
CARESOURCE OHIO
OH
01
—
9760718
AETNA
OH
Enumeration date
07/20/2007
Last updated
12/31/2024
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