Individual
MS. LISA MARIE MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
600 MAPLE AVE STE 2, HONESDALE, PA 18431-1436
(570) 251-6672
Mailing address
601 PARK ST, HONESDALE, PA 18431-1445
(570) 251-6672
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
SP016616
PA
Other
Enumeration date
06/20/2017
Last updated
05/23/2022
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