Individual
LEE CLYDE MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2209 FOREST HILLS DR, SUITE 19, HARRISBURG, PA 17112-1095
(717) 540-4420
(717) 540-4427
Mailing address
2209 FOREST HILLS DR, SUITE 19, HARRISBURG, PA 17112-1095
(717) 540-4420
(717) 540-4427
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
MD011842E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0550206
—
PA
Enumeration date
06/09/2006
Last updated
07/04/2010
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