Individual
LISA L MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.P.M.
Contact information
Practice address
3100 WYMAN PARK DR, BALTIMORE, MD 21211
(410) 338-3100
Mailing address
9910 FRANKLIN SQUARE DR # 2110, BALTIMORE, MD 21236-4902
(410) 933-5412
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
01111
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
764448500
—
MD
Enumeration date
05/11/2006
Last updated
06/05/2018
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