Individual
MRS. LISA C MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
2215 DUTCH GOLD DR, LANCASTER, PA 17601-1940
(717) 569-8972
(717) 569-7762
Mailing address
837 WESTMINSTER DR, LANCASTER, PA 17601-1452
(717) 898-9315
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SL002756L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0019255870003
PA MEDICAL ASSISTANCE
PA
Enumeration date
12/09/2006
Last updated
07/08/2007
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