Individual
LISA R MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
310 S CECIL ST, BONDUEL, WI 54107-9260
(920) 419-5454
Mailing address
310 S CECIL ST, BONDUEL, WI 54107-9260
(920) 419-5454
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
05/08/2023
Last updated
05/08/2023
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