Individual
LOIS JEAN MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
732 BECKMAN ST, DAYTON, OH 45410-2165
(937) 750-6881
Mailing address
6539 CLOUD CT, HUBER HEIGHTS, OH 45424-7012
(937) 750-6881
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
R.N.387123
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8773
—
OH
Enumeration date
03/08/2019
Last updated
03/08/2019
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