Organization
LISA MCCOY MILLER ARNP PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISA MCCOY MILLER ARNP (MEMBER MANAGER)
(270) 804-9707
Entity
Organization
Contact information
Practice address
75 DUFFY RD, BOAZ, KY 42027-8461
(270) 804-9707
(270) 658-3009
Mailing address
75 DUFFY RD, BOAZ, KY 42027-8461
(270) 804-9707
(270) 658-3009
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
Primary
2009001762
KY
Other
Enumeration date
06/26/2009
Last updated
06/26/2009
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