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NPI Code Detail

MEDICARE: DR. LAMANDA MILLS

MEDICARE:  DR. LAMANDA  MILLS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1183500000XPharmacistRP445782PA

General Provider Information

NPI Number : 1063826220
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. LAMANDA MILLS
Provider Business Mailing Address
First Line : 105 AZALEA DR
Second Line :
City : WINDSOR
State : PA
Zip : 17366-8519
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 910 W BROADWAY
Second Line :
City : RED LION
State : PA
Zip : 17356-1952
Country : US
Telephone Number : 717-244-2919
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/16/2014
Last Update Date : 06/16/2014

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Directions to “ DR. LAMANDA MILLS ” Practice Location

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