Individual
MRS. LAURA L MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MPAS, PA
Contact information
Practice address
1103 GALVIN RD S STE G, BELLEVUE, NE 68005-3000
(402) 292-1072
(402) 292-0742
Mailing address
1103 GALVIN RD S STE G, BELLEVUE, NE 68005-3000
(402) 292-1072
(402) 292-0742
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1869
NE
363A00000X
Physician Assistant
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1255535068
—
MI
Enumeration date
06/14/2007
Last updated
05/02/2019
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