Individual
MS. LORA L MILLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
5250 E SOUTHERN AVE, MESA, AZ 85206
(602) 955-1000
(602) 508-4830
Mailing address
2124 E BROADMOR DR, TEMPE, AZ 85282-3025
(480) 330-4031
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
019353
NY
363A00000X
Physician Assistant
Primary
4283
AZ
363A00000X
Physician Assistant
53340
CA
363A00000X
Physician Assistant
6036
MA
363AM0700X
Medical Physician Assistant
3929
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
437602
—
AZ
Enumeration date
10/17/2008
Last updated
07/21/2022
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