Individual
DR. LAFAITH CHIVONNE MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.M.D
Contact information
Practice address
2000 OPELOUSAS ST, LAKE CHARLES, LA 70601-2641
(337) 439-9983
(337) 310-1161
Mailing address
2000 OPELOUSAS ST, LAKE CHARLES, LA 70601-2641
(337) 439-9983
(337) 310-1161
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5854
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1858544
—
LA
Enumeration date
10/31/2006
Last updated
06/13/2016
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