Individual
DR. LACY HENRY MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, PMHNP-BC, FNP
Contact information
Practice address
284 EXECUTIVE PARK DR, CONCORD, NC 28025-1831
(704) 939-1100
Mailing address
901 JONES FRANKLIN RD, STE 101, RALEIGH, NC 27606-5441
(336) 633-7000
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
201376
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2632201
UNITED HEALTHCARE
—
05
—
6005036
—
NC
Enumeration date
08/22/2005
Last updated
11/27/2023
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