| Lawrence R Miller Md A Professional Corp | |
|
8641 Wilshire Blvd Suite 200 Beverly Hills CA 90211-2900 | |
| (310) 657-7246 | |
| (310) 360-6917 |
| Full Name | Lawrence R Miller Md A Professional Corp |
|---|---|
| Speciality | Anesthesiology |
| Location | 8641 Wilshire Blvd, Beverly Hills, California |
| Authorized Official Name and Position | Lawrence Ross Miller (OWNER) |
| Authorized Official Contact | 3106577246 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lawrence R Miller Md A Professional Corp Po Box 4869 Chatsworth CA 91313-4869 Ph: (310) 657-7246 | Lawrence R Miller Md A Professional Corp 8641 Wilshire Blvd Suite 200 Beverly Hills CA 90211-2900 Ph: (310) 657-7246 |
| NPI Number | 1104032911 |
|---|---|
| Provider Enumeration Date | 05/16/2007 |
| Last Update Date | 06/18/2009 |
| Medicare PECOS PAC ID | 4183778186 |
|---|---|
| Medicare Enrollment ID | O20090810000463 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104032911 | NPI | - | NPPES |
| Provider Name | Lawrence R Miller |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1902879067 PECOS PAC ID: 7012950983 Enrollment ID: I20050602000523 |
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