Individual
LOTUS MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
100 WASHINGTON AVE S STE 1210, MINNEAPOLIS, MN 55401-2511
(866) 492-5336
Mailing address
1255 E 66TH ST, LOS ANGELES, CA 90001-1622
(323) 810-4976
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
06/03/2026
Last updated
06/03/2026
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