| Doctor Name: | LISA LYNETTE MILLER |
| NPI Number: | 1003970856 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | ARNP, BSN, MN |
| License Number: | 200650026NP ACNP-PP |
| Business Practice Address: | 1100 Goethals Drive First Floor Kadlec Neuroscience Center Richland, WA - 99352 |
| Business Phone Number: | 5099423080 |
| Business Fax Number: | 5099423085 |
| Mailing Address: | 3900 S Zintel Way, KENNEWICK |
| State: | WA |
| Postal Code: | 99338 |
| Phone Number: | 5099423627 |
| Fax Number: | 5099422268 |
| NPI Enumeration Date: | 12/19/2006 |
| NPI Last Update Date: | 09/30/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LA2200X |
| License Number: | 200650026NP ACNP-PP |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | OR |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Adult Health |
| Taxonomy Definition: | |