LISA M MILLER

POCATELLO, ID
NPI1356094148
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: ID  70995)
Enumeration Date2022-02-01
Last Update Date2024-11-20
Business Address
LISA M MILLER NP
1950 E CLARK ST STE 110
POCATELLO, ID 83201-3315
Phone number: 208-252-5021
Mailing Address
LISA M MILLER NP
1950 E CLARK ST STE 110
POCATELLO, ID 83201-3315
Phone number: 208-252-5021