Individual
LISSA ANNE MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
615 CENTER ST, KEWAUNEE, WI 54216-1529
(920) 256-1470
Mailing address
615 CENTER ST, KEWAUNEE, WI 54216-1529
(920) 256-1470
Taxonomy
Speciality
Code
Description
License number
State
343800000X
Secured Medical Transport (VAN)
Primary
—
WY
Other
Enumeration date
05/17/2019
Last updated
05/17/2019
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