Individual
LIANG LU MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3900 S WALNUT ST, BLOOMINGTON, IN 47401-7325
(812) 822-1516
Mailing address
3900 S WALNUT ST, BLOOMINGTON, IN 47401-7325
(812) 822-1516
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
71011567A
IN
Other
Enumeration date
07/08/2021
Last updated
11/05/2021
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