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Individual

DR. LISA S MILLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
8010 FROST ST, SUITE 406, SAN DIEGO, CA 92123
(858) 467-1899
(858) 467-1363
Mailing address
8010 FROST ST, SUITE 406, SAN DIEGO, CA 92123
(858) 467-1899
(858) 467-1363

Taxonomy

Speciality
Code
Description
License number
State
207XP3100X
Pediatric Orthopaedic Surgery Physician
Primary
G59474
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0001594740
MEDICAL
CA
Enumeration date
12/08/2006
Last updated
07/08/2007
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