Miller, Lori C

Miller, Lori C is an individual health care provider with primary practice located at 2327 Coronado St , Idaho Falls ID 83404-7407. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Miller, Lori C can be contacted via phone (208) 557-2900.

Contact Information

Primary practice address
2327 Coronado St Idaho Falls ID 83404-7407
Phone: (208) 557-2900
Fax: (208) 557-2910
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X NP302A Idaho

Profile Details

NPI number 1487723854
LBN Legal business name Miller, Lori C
Credentials Certified Nurse Practitioner (CNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 7th, 2006
Last updated Apr 25th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1487723854 NPPES
Idaho MEDICAID 80530900

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