Individual
DR. LORI COLLEEN MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
8937 S GARNETT RD, BROKEN ARROW, OK 74012-6004
(918) 872-9777
(918) 872-9779
Mailing address
2990 N SIOUX AVE, CLAREMORE, OK 74017-3700
(918) 342-2622
(918) 342-2641
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
2963
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OKAAA2836
MEDICARE PTAN
OK
Enumeration date
11/19/2009
Last updated
03/26/2013
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