Healthcare Provider Details

I. General information

NPI: 1083549406
Provider Name (Legal Business Name): LAUREN MARIE MILLER MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/16/2026
Last Update Date: 06/16/2026
Certification Date: 06/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4401 WORNALL RD
KANSAS CITY MO
64111-3220
US

IV. Provider business mailing address

103 E 28TH TER APT 5
KANSAS CITY MO
64108-3336
US

V. Phone/Fax

Practice location:
  • Phone: 816-932-6009
  • Fax:
Mailing address:
  • Phone: 506-474-2396
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number2026025928
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: