Provider Information for 1326617010
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LAUREN L MILLER-FORD
Sex: Female
NPI: 1326617010
Last Updated: 2021-06-17
Certification Date: 2021-06-17
Certification Date: 2021-06-17
Details
Name | Value | ||||||||||||
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NPI | 1326617010 | ||||||||||||
Enumeration Date | 2021-06-17 | ||||||||||||
NPI Type | NPI-1 Individual | ||||||||||||
Sole Proprietor | YES | ||||||||||||
Status | Active | ||||||||||||
Mailing Address | 3214 W ALLEGHENY AVE PHILA, PA 19132-1016 United States Phone: 267-847-7956 | Fax: | ||||||||||||
Primary Practice Address | 3214 W ALLEGHENY AVE PHILA, PA 19132-1016 United States Phone: 267-847-7956 | Fax: | ||||||||||||
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