Individual
GLADYS ANN MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4150 NELSON ROAD, BUILDING E SUITE 3, LAKE CHARLES, LA 70605-4116
(337) 475-9995
(337) 475-9975
Mailing address
4150 NELSON ROAD, BUILDING E SUITE 3, LAKE CHARLES, LA 70605-4116
(337) 475-9995
(337) 475-9975
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
016857
LA
207V00000X
Obstetrics & Gynecology Physician
028606
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1364282
—
LA
Enumeration date
08/31/2006
Last updated
02/05/2015
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