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Physician Compare National (NPI:1093374498)

HEALTHCARE PROVIDER: LAUREN RENEA MCMILLER PSYD

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information

NPI 1093374498
Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID 2961737937
Unique individual clinician ID assigned by PECOS
Professional Enrollment ID I20190712001393
Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name MCMILLER
Individual professional last name
Provider First Name LAUREN
Individual professional first name
Provider Middle Name RENEA
Individual professional middle name
Provider Gender F
The provider's gender if the provider is a person.

Medical School Information

Medical School Name OTHER
Individual professional's medical school
Graduation Year 2017
Individual professional's medical school graduation year
Primary Specialty PSYCHOLOGIST, CLINICAL
Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information

Organization Legal Name TRUMAN MEDICAL CENTER INCORPORATED
Legal name of the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Group Practice PAC ID 7315841418
Unique Group Practice ID assigned by PECOS to the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Number of Group Practice members 232
Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address 9406 E 63RD ST
Group Practice or individual's line 1 address
Line 2 Street Address TRUMAN MEDICAL CENTER INCORPORATED RAYTOWN FAMILY
Group Practice or individual's line 2 address
City RAYTOWN
Group Practice or individual's city
State MO
Group Practice or individual's state
Zip Code 641334904
Group Practice or individual's zip code (9 digits when available)
Phone Number 8163561000
Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information

Professional Accepts Medicare Assignment Y

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