Individual
MRS. LORETTA M MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2307 SOUTH GORDON COOPER DRIVE, SHAWNEE, OK 74801
(405) 273-5236
(405) 878-4690
Mailing address
2307 SOUTH GORDON COOPER DRIVE, SHAWNEE, OK 74801
(405) 273-5236
(405) 878-4690
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R0016039
OK
Other
Enumeration date
11/01/2006
Last updated
07/08/2007
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