Healthcare Provider Details

I. General information

NPI: 1003042078
Provider Name (Legal Business Name): LAUREN E MILLER P.A.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/04/2009
Last Update Date: 06/08/2026
Certification Date: 06/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

407 S 4TH ST
GADSDEN AL
35901-5214
US

IV. Provider business mailing address

1935 E GLENN AVE
AUBURN AL
36830-5998
US

V. Phone/Fax

Practice location:
  • Phone: 205-235-3681
  • Fax: 205-977-9976
Mailing address:
  • Phone: 334-539-8049
  • Fax: 334-521-7454

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License NumberPA642
License Number StateAL
# 2
Primary TaxonomyN
Taxonomy Code363AM0700X
TaxonomyMedical Physician Assistant
License NumberPA642
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: