Miller, Lisa D

Miller, Lisa D is an individual health care provider with primary practice located at 910 Wallace Ave , Leitchfield KY 42754. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Miller, Lisa D can be contacted via phone (270) 259-9651.

Contact Information

Primary practice address
910 Wallace Ave Leitchfield KY 42754
Phone: (270) 259-9651
Fax: (270) 259-0346
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 44680 Kentucky
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 35596 Tennessee

Profile Details

NPI number 1538154687
LBN Legal business name Miller, Lisa D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 14th, 2005
Last updated May 12th, 2020 - about 4 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 1538154687 NPPES
Kentucky MEDICAID 7100181130
Kentucky MEDICAID 3866106

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