| NPI | 1376505958 |
|---|---|
| Former Name | LORI ANNE MILLER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NM T501) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CO DR43734) |
| Enumeration Date | 2006-04-06 |
| Last Update Date | 2008-04-16 |