Individual
LISA M MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
1417 146TH AVE, NEW RICHMOND, WI 54017-6635
(715) 246-0124
Mailing address
1417 146TH AVE, NEW RICHMOND, WI 54017-6635
(715) 246-0124
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
313874-031
WI
Other
Enumeration date
08/29/2011
Last updated
08/29/2011
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