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Individual

MISS LARA BETH MILLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RDMS, RVT, RDCS

Contact information

Practice address
296 TREEMONT DR, ORANGE CITY, FL 32763-7945
(888) 221-9193
(888) 221-7753
Mailing address
296 TREEMONT DR, ORANGE CITY, FL 32763-7945
(888) 221-9193
(888) 221-7753

Taxonomy

Speciality
Code
Description
License number
State
246XS1301X
Sonography Specialist/Technologist Cardiovascular
Primary
ARDMS 99517
FL
2471S1302X
Sonography Radiologic Technologist
ARDMS 99517
FL
2471V0105X
Vascular Sonography Radiologic Technologist
ARDMS 99517
FL

Other

Enumeration date
04/01/2008
Last updated
01/25/2012
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