Individual
LYDIA IRENE MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
2102 N PEARL ST STE 405, TACOMA, WA 98406-2550
(253) 752-8822
Mailing address
2690 NE KRESKY AVE, CHEHALIS, WA 98532-2412
(360) 330-9595
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP30007852
WA
Other
Enumeration date
08/28/2007
Last updated
02/02/2023
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