Miller, Lisa Williams

Miller, Lisa Williams is an sole proprietor health care provider with primary practice located at 108 Beech Dr. , Edgewood KY 41017. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Miller, Lisa Williams can be contacted via phone (859) 331-8655.

Contact Information

Primary practice address
108 Beech Dr. Edgewood KY 41017
Fax: (859) 341-7198
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 35 05 3614 Ohio
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 24589 Kentucky

Profile Details

NPI number 1043283179
LBN Legal business name Miller, Lisa Williams
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 9th, 2006
Last updated Jan 27th, 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 1043283179 NPPES
Other 1220582 UNITED HEALTH CARE OF OHI
MEDICAID 64245897 UNITED HEALTH CARE OF OHI
Other 000000033740 UNITED HEALTH CARE OF OHI
Other 0637329 UNITED HEALTH CARE OF OHI

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