Miller, Lisa Anne

Miller, Lisa Anne is an sole proprietor health care provider with primary practice located at 5944 Wooded Estates Ln , Edwardsville IL 62025-5811. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics, which is considered as her primary health care specialty. Miller, Lisa Anne can be contacted via phone (618) 409-8073.

Contact Information

Primary practice address
5944 Wooded Estates Ln Edwardsville IL 62025-5811
Phone: (618) 409-8073
Fax: (618) 692-0942
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics 225XP0200X 056009534 Illinois

Profile Details

NPI number 1104101815
LBN Legal business name Miller, Lisa Anne
Credentials OTR/L
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 13th, 2011
Last updated Oct 13th, 2011 - about 13 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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