Individual
MRS. LIDA MILLER OXNARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
809 MORTON AVE STE 200, SUITE 200, BARDSTOWN, KY 40004-2565
(502) 331-0411
(502) 331-0380
Mailing address
809 MORTON AVE, SUITE 200, BARDSTOWN, KY 40004-2565
(502) 331-0411
(502) 331-0380
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
28312
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000052168
ANTHEM
KY
05
—
64283120
—
KY
Enumeration date
10/24/2006
Last updated
05/07/2008
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