Individual
DR. LISA NACZKI MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
207 MEDICAL ST, PILOT MOUNTAIN, NC 27041-8656
(336) 368-5011
Mailing address
PO BOX 751803, CHARLOTTE, NC 28275-1803
(336) 368-5011
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
9901448
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1679593065
—
VA
05
—
89132NP
—
NC
Enumeration date
07/20/2006
Last updated
10/28/2020
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