Provider Demographics
NPI:1215978200
Name:MILLER, LISA E (DO)
Entity type:Individual
Prefix:DR
First Name:LISA
Middle Name:E
Last Name:MILLER
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:1460 JOEL DR
Mailing Address - Street 2:
Mailing Address - City:AMBLER
Mailing Address - State:PA
Mailing Address - Zip Code:19002-3908
Mailing Address - Country:US
Mailing Address - Phone:215-283-9929
Mailing Address - Fax:
Practice Address - Street 1:433 CAREDEAN DR
Practice Address - Street 2:
Practice Address - City:HORSHAM
Practice Address - State:PA
Practice Address - Zip Code:19044-1321
Practice Address - Country:US
Practice Address - Phone:215-823-6050
Practice Address - Fax:215-823-4425
Is Sole Proprietor?:No
Enumeration Date:2006-06-09
Last Update Date:2014-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOS010533-L207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine