Miller, Lori Jane

Miller, Lori Jane is an individual health care provider with primary practice located at 17 Exchange St W Ste 622 , Saint Paul MN 55102-1225. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Women's Health, which is considered as her primary health care specialty. Miller, Lori Jane can be contacted via phone (651) 297-9141.

Contact Information

Primary practice address
17 Exchange St W Ste 622 Saint Paul MN 55102-1225
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Women's Health 363LW0102X R155474-6 Minnesota

Profile Details

NPI number 1639112212
LBN Legal business name Miller, Lori Jane
Credentials RN, WHCNP
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 13th, 2006
Last updated Oct 31st, 2019 - about 5 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 1639112212 NPPES
Minnesota MEDICAID 684421900
Minnesota Other 07-04740
Minnesota Other 519P1MI
Minnesota Other HP62465
Minnesota Other 1046752
Minnesota Other 2435603

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