MEDICARE: DR. LORI B MILLER AU.D, CCC-A

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
1	237600000X	Audiologist-Hearing Aid Fitter	304A	SD
2	231H00000X	Audiologist	304A	SD

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	304A	OTHER	SD	LICENSED AUDIOLOGIST

General Provider Information

NPI Number	:	1528231305
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. LORI B MILLER AU.D, CCC-A

Provider Business Mailing Address
First Line	:	4904 E ROSA PARKS PL
Second Line	:
City	:	SIOUX FALLS
State	:	SD
Zip	:	57110-4041
Country	:	US
Telephone Number	:	605-274-8663
Fax Number	:	605-581-0066

Provider Business Practice Location Address
First Line	:	4904 E ROSA PARKS PL
Second Line	:
City	:	SIOUX FALLS
State	:	SD
Zip	:	57110-4041
Country	:	US
Telephone Number	:	605-274-8663
Fax Number	:	605-581-0066

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/11/2008
Last Update Date	:	10/28/2025

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