Laurie T Miller PA-C

NPI 1164616132 - Physician Assistant - 363A00000X

NPI Details
NPI 1164616132
Gender Female
Enumeration Date 08/31/2007
Last Updated 02/19/2009
Entity Type Individual
Active Over 9 years ago
Practice Location
71 HOLLOWCREST DRIVE
SUITE 3
TUNKHANNOCK PA, 18657-5701, US
Phone (570) 836-4705
Fax (570) 996-8305
Business Location
71 HOLLOWCREST DRIVE
SUITE 3
TUNKHANNOCK PA, 18657-5701, US
Phone (570) 836-4705
Fax (570) 996-8305
Toxanomy
Taxonomy Code 363A00000X
License State Pennsylvania
License Number MA001049L
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According to our database, Mrs. Laurie T Miller PA-C NPI is 1164616132, taxonomy code is 363A00000X and license number is MA001049L, license state is located at Pennsylvania. Laurie T Miller PA-C physically located at 71 Hollowcrest Drive, Tunkhannock PA, 18657-5701. NPI Number Laurie T Miller PA-C has the Individual type.

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1164616132 NPI number is provided on an as is basis without warranty of any kind. 1164616132 is maintained by the National Plan & Provider Enumeration System. The contents of Laurie T Miller PA-C are for informational purposes only.