Miller, Lisa Rebecca

Miller, Lisa Rebecca is an individual health care provider with primary practice located at 1711 Ocean Park Blvd , Santa Monica CA 90405-4901. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Miller, Lisa Rebecca can be contacted via phone (310) 450-2191.

Contact Information

Primary practice address
1711 Ocean Park Blvd Santa Monica CA 90405-4901
Phone: (310) 450-2191
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X NP21066 California

Profile Details

NPI number 1700160421
LBN Legal business name Miller, Lisa Rebecca
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 29th, 2011
Last updated Sep 29th, 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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