Miller, Lucy M.

Miller, Lucy M. is an individual health care provider with primary practice located at 8851 Center Dr Ste 505, La Mesa CA 91942-3017. She recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as her primary health care specialty. Miller, Lucy M. can be contacted via phone (619) 461-3880.

Contact Information

Primary practice address
8851 Center Dr Ste 505 La Mesa CA 91942-3017
Fax: (619) 461-3895
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X A53843 California

Profile Details

NPI number 1467458620
LBN Legal business name Miller, Lucy M.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 22nd, 2005
Last updated Feb 2nd, 2021 - about 3 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 1467458620 NPPES
California Other CA121917 NO. CALIFORNIA PTAN
California MEDICAID 00A538430 NO. CALIFORNIA PTAN
California Other WA53843A NO. CALIFORNIA PTAN

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