Individual
LAUREN MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COSMETOLOGIST
Contact information
Practice address
3909 W AIRPORT FWY STE 109, IRVING, TX 75062-5905
(316) 880-0140
Mailing address
4024 N STORY RD APT 8311A, IRVING, TX 75038-5909
(316) 880-0140
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
TX
Other
Enumeration date
06/21/2017
Last updated
06/21/2017
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