Individual
DR. LAWRENCE ANTHONY MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSYD
Contact information
Practice address
1155 N MAYFAIR RD FL 3, MILWAUKEE, WI 53226-3464
(414) 955-8900
(414) 955-6299
Mailing address
1155 N MAYFAIR RD FL 3, MILWAUKEE, WI 53226-3464
(414) 955-8900
(414) 955-6299
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
2477
WI
103T00000X
Psychologist
71006826
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1528151909
—
WI
Enumeration date
09/30/2006
Last updated
07/21/2022
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