Miller, Lisa Lynette

Miller, Lisa Lynette is an individual health care provider with primary practice located at 4201 Campus Ridge Dr Ste 4000 , Midland MI 48640. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Adult Health, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Miller, Lisa Lynette can be contacted via phone (989) 839-3393.

Contact Information

Primary practice address
4201 Campus Ridge Dr Ste 4000 Midland MI 48640
Phone: (989) 839-3393
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 200650026NP ACNP-PP Oregon
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X AP30007900 Washington

Profile Details

NPI number 1003970856
LBN Legal business name Miller, Lisa Lynette
Credentials ARNP, BSN, MN
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 19th, 2006
Last updated Mar 7th, 2023 - about 2 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 1003970856 NPPES
Washington Other 0248141 LABOR & INDUSTRIES
Washington MEDICAID 9654609 LABOR & INDUSTRIES
Washington Other 200650026NP ACNP-PP LABOR & INDUSTRIES
Washington Other 2005009787-21 LABOR & INDUSTRIES

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