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1093049173
LISA PENA MILLER
LAFAYETTE, LA
NPI
1093049173
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LC1500X Nurse Practitioner, Community Health
(Licence: LA AP05930)
Enumeration Date
2009-09-23
Last Update Date
2021-08-06
Business Address
Mrs. LISA PENA MILLER ANP-C
2390 W CONGRESS ST
LAFAYETTE, LA 70506-4205
Phone number: 337-261-6759
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Mailing Address
Mrs. LISA PENA MILLER ANP-C
414 WOODVALE AVE
LAFAYETTE, LA 70503-3434
Phone number: 337-326-0202
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