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NPI Code Detail

MEDICARE: LILLIE MELISSA MILLER

MEDICARE: LILLIE MELISSA MILLER
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
1106S00000XBehavior TechnicianABAT-12890NC

General Provider Information

NPI Number : 1437885647
Entity Type Code : Individual
Provider Name (Legal Business Name) : LILLIE MELISSA MILLER
Provider Business Mailing Address
First Line : 1031 SHELL DR APT 101
Second Line :
City : SPRING LAKE
State : NC
Zip : 28390-2059
Country : US
Telephone Number : 828-448-4392
Fax Number :
Provider Business Practice Location Address
First Line : 102 SUPERIOR DR
Second Line :
City : SPRING LAKE
State : NC
Zip : 28390-3190
Country : US
Telephone Number : 910-484-1711
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/29/2022
Last Update Date : 12/01/2025

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Directions to “ LILLIE MELISSA MILLER ” Practice Location

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