Individual
LORI MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
18591 N 59TH AVE, GLENDALE, AZ 85308-1251
(866) 389-2728
Mailing address
18591 N 59TH AVE, GLENDALE, AZ 85308-1251
(866) 389-2727
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP5167
AZ
Other
Enumeration date
09/20/2013
Last updated
04/17/2022
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