Individual
DR. LAURENCE IRWIN MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
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
Update your record
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