Miller, Larry

Miller, Larry is an individual health care provider with primary practice located at 5253 Dijon Dr Suite A, Baton Rouge LA 70808-4312. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Miller, Larry can be contacted via phone (225) 768-1611.

Contact Information

Primary practice address
5253 Dijon Dr Suite A Baton Rouge LA 70808-4312
Phone: (225) 768-1611
Fax: (225) 768-1615
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X AP02275 Louisiana

Profile Details

NPI number 1255316998
LBN Legal business name Miller, Larry
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 14th, 2005
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1255316998 NPPES
Louisiana MEDICAID 1397326

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