Individual
LAWRENCE F MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
9556 MANCHESTER RD, SAINT LOUIS, MO 63119-1313
(314) 373-5740
(314) 373-5757
Mailing address
9556 MANCHESTER RD, SAINT LOUIS, MO 63119-1313
(314) 373-5740
(314) 373-5757
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
036094845
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0360948454
—
IL
05
—
0360948456
—
IL
01
—
P00184556
RAILROAD MEDICARE
IL
Enumeration date
06/15/2006
Last updated
06/04/2015
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