Individual
LORI JANE MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, WHCNP
Contact information
Practice address
17 EXCHANGE ST W STE 622, SAINT PAUL, MN 55102-1225
(651) 297-9141
Mailing address
1655 BEAM AVE, STE 102, MAPLEWOOD, MN 55109-1475
(651) 257-9622
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
R155474-6
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
07-04740
MEDICA PROVIDER ID #
—
01
—
1046752
PREFERRED ONE ID #
—
01
—
2435603
AMERICA'S PPO ID #
—
01
—
519P1MI
BCBS MN PROVIDER ID #
MN
05
—
684421900
—
MN
01
—
HP62465
HEALTH PARTNERS ID #
—
Enumeration date
06/13/2006
Last updated
10/31/2019
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