Individual
LISA M MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2201 CASON ST, LAFAYETTE, IN 47904-2697
(765) 447-4102
Mailing address
2201 CASON ST, LAFAYETTE, IN 47904-2697
(765) 447-4102
Taxonomy
Speciality
Code
Description
License number
State
364SL0600X
Long-Term Care Clinical Nurse Specialist
Primary
27036084A
IN
Other
Enumeration date
06/16/2021
Last updated
06/16/2021
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