Individual
DR. LAURENCE IRWIN MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
506 ROSEWOOD DR, KIRKSVILLE, MO 63501-2437
(660) 665-1223
(660) 665-2566
Mailing address
506 ROSEWOOD DR, KIRKSVILLE, MO 63501-2437
(660) 665-1223
(660) 665-2566
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
02394
IA
207W00000X
Ophthalmology Physician
Primary
33564
MO
207W00000X
Ophthalmology Physician
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0945857
—
IA
01
—
13028
BC/BS
MO
01
—
36470
BC/BS
IA
Enumeration date
10/25/2005
Last updated
02/04/2008
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