LISA M MILLER

POCATELLO, ID
NPI1194547836
Entity TypeOrganization
Authorized ContactLISA M MILLER
Owner
208-741-6159
Organization Subpart ?No
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
Enumeration Date2024-10-24
Last Update Date2024-10-24
Business Address
LISA M MILLER
1950 E CLARK ST STE 10
POCATELLO, ID 83201-3314
Phone number: 208-741-6159
Mailing Address
LISA M MILLER
941 CASTLE ST
CHUBBUCK, ID 83202-3010
Phone number: 208-741-6159
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