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NPI Code Detail

MEDICARE: LAURIE MILLER MD

MEDICARE: LAURIE MILLER MD
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
1207Q00000XFamily Medicine PhysicianDR.0040888CO

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1184621245
Entity Type Code : Individual
Provider Name (Legal Business Name) : LAURIE MILLER MD
Provider Business Mailing Address
First Line : 203 S ROLLIE AVE
Second Line :
City : FORT LUPTON
State : CO
Zip : 80621-1508
Country : US
Telephone Number : 303-286-4560
Fax Number : 303-286-4589
Provider Business Practice Location Address
First Line : 1635 BLUE SPRUCE DR
Second Line :
City : FORT COLLINS
State : CO
Zip : 80524-5427
Country : US
Telephone Number : 970-494-4040
Fax Number : 970-494-4076
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/05/2005
Last Update Date : 04/29/2013

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Directions to “ LAURIE MILLER MD” Practice Location

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