Miller, Lisa R
Miller, Lisa R is an individual health care provider with primary practice located at 10001 S Eastern Ave Ste 310 , Henderson NV 89052-3908. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Adolescent Medicine, Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine. Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine is her primary health care specialty. Miller, Lisa R can be contacted via phone (702) 566-2400.Contact Information
Primary practice address
10001 S Eastern Ave Ste 310
Henderson NV 89052-3908
Phone: (702) 566-2400
Fax: (702) 433-2477
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 9898 | Nevada |
Allopathic & Osteopathic Physicians / Adolescent Medicine | 2080A0000X | 9898 | Nevada |
Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine | 207PP0204X | NV9898 | Nevada |
Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine | 2080P0204X | NV9898 | Nevada |
Profile Details
NPI number | 1801859772 |
---|---|
LBN Legal business name | Miller, Lisa R |
Credentials | MD FAAP |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Apr 10th, 2006 |
Last updated | Mar 29th, 2024 - about 8 months 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1801859772 | NPPES |
Nevada | MEDICAID | 002016782 |
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