Miller, Lisa L

Miller, Lisa L is an individual health care provider with primary practice located at 3100 Wyman Park Dr , Baltimore MD 21211. She recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as her primary health care specialty. Miller, Lisa L can be contacted via phone (410) 338-3100.

Contact Information

Primary practice address
3100 Wyman Park Dr Baltimore MD 21211
Phone: (410) 338-3100
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X 01111 Maryland

Profile Details

NPI number 1669422689
LBN Legal business name Miller, Lisa L
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date May 11th, 2006
Last updated Jun 5th, 2018 - about 8 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 1669422689 NPPES
Maryland MEDICAID 764448500

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