Individual
DR. LAURENCE ALEXANDER MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
NASSCO MEDICAL DEPARTMENT, HARBOR DRIVE AND 28TH STREET, SAN DIEGO, CA 92186-5278
(619) 544-8861
Mailing address
PO BOX 12386, LA JOLLA, CA 92039-2386
(619) 733-2331
Taxonomy
Speciality
Code
Description
License number
State
2083X0100X
Occupational Medicine Physician
Primary
G 32915
CA
Other
Enumeration date
05/07/2007
Last updated
07/08/2007
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