Individual
LISA MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1007 S X RD, HAMPTON, NE 68843-2315
(402) 710-0477
Mailing address
1007 S X RD, HAMPTON, NE 68843-2315
(402) 710-0477
Taxonomy
Speciality
Code
Description
License number
State
372500000X
Chore Provider
Primary
79076897
NE
Other
Enumeration date
04/07/2025
Last updated
04/07/2025
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