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Individual

LORI L MILLER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RN, CNOR, RNFA

Contact information

Practice address
1913 WOODGLEN DR, ROUND ROCK, TX 78681-2220
(512) 507-9210
(512) 255-5541
Mailing address
1913 WOODGLEN DR, ROUND ROCK, TX 78681-2220
(512) 507-9210
(512) 255-5541

Taxonomy

Speciality
Code
Description
License number
State
163WR0006X
Registered Nurse First Assistant
Primary
532918
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
04QE
BCBS PROVIDER NUMBER
TX
Enumeration date
12/14/2007
Last updated
04/22/2008
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