Individual
MYRNA MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
555 N DUKE ST, LANCASTER, PA 17602-2250
(717) 544-5511
Mailing address
555 N DUKE ST, LANCASTER, PA 17602-2250
(717) 544-5511
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
MD046469L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0017549530003
CBHNP
PA
05
—
0017549530003
—
PA
05
—
0017549530005
—
PA
01
—
116482
VALUE OPTIONS
PA
01
—
50047594
CAPITAL BLUE CROSS
PA
01
—
50055872
CAPITAL BLUE CROSS
PA
01
—
557415
HIGHMARK BLUE SHIELD
PA
Enumeration date
05/10/2006
Last updated
10/05/2009
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