Individual
LEE ELLIOTT MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT, OCS
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
14756
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
373628800
—
MD
01
—
E705-0001
FEDERAL BLUECROSS/SHIELD
MD
01
—
LV17
CAREFIRST BLUECROSS/SHIEL
MD
Enumeration date
05/05/2006
Last updated
10/14/2021
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