Individual
MRS. LISA R MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BS,IBCLC,RLC
Contact information
Practice address
7495 FOX CHASE DR, TRINITY, NC 27370-7778
(336) 669-7209
Mailing address
7495 FOX CHASE DR, TRINITY, NC 27370-7778
(336) 669-7209
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
—
—
174N00000X
Lactation Consultant (Non-RN)
Primary
—
—
Other
Enumeration date
02/23/2012
Last updated
02/23/2012
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