Individual
LUCAS MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
521 LANCASTER AVE, RICHMOND, KY 40475-3102
(859) 622-8149
Mailing address
665 DARDANELLES DR, LEXINGTON, KY 40503-5815
(859) 533-5246
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/04/2019
Last updated
03/04/2019
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