Individual
LISA J MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
66 STONE ST, AUGUSTA, ME 04330-5227
(207) 873-2136
Mailing address
776 MAIN ST, VASSALBORO, ME 04989-3114
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN41376
ME
Other
Enumeration date
10/09/2012
Last updated
02/08/2016
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