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Individual

LANCE M MILLER

Active
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Individual

LANCE M MILLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PT

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0223987
DEPT. OF LABOR & INDUSTRY
WA
01
470930529-98201-A013
TRICARE
WA
01
4788MI
REGENCE BLUE SHIELD
WA
01
7930039
AETNA
WA
05
8335895
WA
01
8931866
L&I CRIME VICTIMS
WA
01
P00034707
RAILROAD MEDICARE
WA
Enumeration date
06/12/2006
Last updated
01/07/2026
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