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Individual

DR. LESLIE BEARD MILLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
O.D.

Contact information

Practice address
1555 HIGHLANDS DR, SUITE 180, LITITZ, PA 17543-2800
(717) 625-4600
(717) 625-4676
Mailing address
16 HORSESHOE DR, EPHRATA, PA 17522-8811
(717) 733-7982

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OEG0001151
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1447707
HIGHMARK BLUE SHIELD
01
467786
AETNA
Enumeration date
02/23/2006
Last updated
01/20/2009
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