Individual
LUCINDA MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
111 W STONE DR, SUITE 100, KINGSPORT, TN 37660-6027
(423) 247-5197
(423) 247-5254
Mailing address
111 W STONE DR, SUITE 100, KINGSPORT, TN 37660-6027
(423) 247-5197
(423) 247-5254
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
0101246370
VA
207RP1001X
Pulmonary Disease Physician
Primary
40488
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
100050449
PHP TENN CARE
TN
01
—
2245527
UNITED HEALTHCARE
TN
05
—
3336180
—
TN
01
—
4115762
BLUE CROSS BLUE SHIELD
TN
Enumeration date
05/20/2006
Last updated
07/27/2012
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