Individual
MRS. LAURIE T MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
71 HOLLOWCREST DRIVE, SUITE 3, TUNKHANNOCK, PA 18657-5701
(570) 836-4705
(570) 996-8305
Mailing address
71 HOLLOWCREST DRIVE, SUITE 3, TUNKHANNOCK, PA 18657-5701
(570) 836-4705
(570) 996-8305
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
MA001049L
PA
Other
Enumeration date
08/31/2007
Last updated
02/19/2009
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