Individual
LANCE MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA
Contact information
Practice address
3705 E SAINT VRAIN ST, COLORADO SPRINGS, CO 80909-6626
(719) 440-5846
Mailing address
3705 E SAINT VRAIN ST, COLORADO SPRINGS, CO 80909-6626
(719) 440-5846
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
8248
CO
Other
Enumeration date
07/01/2010
Last updated
07/01/2010
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