Lori Beth Milliron
Nurse Practitioner Nurse Practitioner - Pediatrics
1516 Yankee Park Pl
Centerville
, Ohio 45458-1878
Lori Beth Milliron
Nurse Practitioner Nurse Practitioner - Pediatrics
1516 Yankee Park Pl
Centerville
, Ohio 45458-1878
(937) 438-1291
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About
Features
Specialties
- Nurse Practitioner
- Nurse Practitioner - Pediatrics
Languages spoken
- English
Location
First Address
- Lori Beth Milliron
- 2912 Springboro W Suite 201
- Moraine, OH
- Zip : 45439-1674
- Fax : (937) 438-1291
- Phone : (937) 297-8999
Second Address
- Lori Beth Milliron
- 1516 Yankee Park Pl
- Centerville, OH
- Zip : 45458-1878
- Fax : (937) 438-1291
- Phone : (937) 438-1115
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 363L00000X | Nurse Practitioner | RN.315948 | OH |
| Y | 363LP0200X | Nurse Practitioner - Pediatrics | COA 09845NP | OH |
National Provider Identifier
| NPI | 1043410830 |
|---|---|
| Provider Name | Lori Beth Milliron |
| First Address | Moraine, OH 45439-1674 |
| Second Address | Centerville, OH 45458-1878 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 20/07/2007 |
| Last Update Date | 25/01/2018 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 000000722789 | BCBS OHIO (01) | OH |
| 0053983 | (05) | OH |
| 1043410830 | MEDICAL MUTUAL OF OHIO (01) | OH |
| 421534506178 | CARESOURCE OHIO (01) | OH |
| 9760718 | AETNA (01) | OH |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.