Individual
LAUREN BERNICE MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
45 STILLWATER AVE, MASSAPEQUA, NY 11758-8420
(516) 996-1469
Mailing address
45 STILLWATER AVE, MASSAPEQUA, NY 11758-8420
(516) 996-1469
Taxonomy
Speciality
Code
Description
License number
State
246ZA2600X
Medical Art Specialist/Technologist
Primary
—
—
Other
Enumeration date
10/07/2021
Last updated
10/07/2021
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