Individual
LEXIE MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1874 POEYFARRE RD, LAKE CHARLES, LA 70611-4698
(337) 351-6527
Mailing address
1874 POEYFARRE RD, LAKE CHARLES, LA 70611-4698
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
206522
LA
Other
Enumeration date
07/02/2019
Last updated
07/02/2019
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