Individual
LACI R MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
AGACNP-BC
Contact information
Practice address
5230 87TH TER N, PINELLAS PARK, FL 33782-5136
(903) 821-2703
Mailing address
5230 87TH TER N, PINELLAS PARK, FL 33782-5136
(903) 821-2703
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
11021358
FL
Other
Enumeration date
09/07/2022
Last updated
09/07/2022
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