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NPI Code Detail

MEDICARE: LISA REBECCA MILLER N.P.

MEDICARE:   LISA REBECCA MILLER  N.P.
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
1363LF0000XFamily Nurse PractitionerRN303217GA
2363LF0000XFamily Nurse PractitionerNP21066CA

General Provider Information

NPI Number : 1700160421
Entity Type Code : Individual
Provider Name (Legal Business Name) : LISA REBECCA MILLER N.P.
Provider Business Mailing Address
First Line : 110 BRANDYWINE RD
Second Line :
City : SAVANNAH
State : GA
Zip : 31405-5219
Country : US
Telephone Number : 310-422-0639
Fax Number :
Provider Business Practice Location Address
First Line : 4704 AUGUSTA RD
Second Line :
City : GARDEN CITY
State : GA
Zip : 31408-1758
Country : US
Telephone Number : 912-964-4326
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/29/2011
Last Update Date : 10/13/2025

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Directions to “ LISA REBECCA MILLER N.P.” Practice Location

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