Provider Demographics
NPI:1053480574
Name:MILLER, MELANIE LEWIS LEHR (MD)
Entity Type:Individual
Prefix:MRS
First Name:MELANIE
Middle Name:LEWIS LEHR
Last Name:MILLER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:159 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:TRUSSVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:35173-1435
Mailing Address - Country:US
Mailing Address - Phone:205-655-2110
Mailing Address - Fax:205-655-7020
Practice Address - Street 1:159 MAIN ST
Practice Address - Street 2:
Practice Address - City:TRUSSVILLE
Practice Address - State:AL
Practice Address - Zip Code:35173-1435
Practice Address - Country:US
Practice Address - Phone:205-655-2110
Practice Address - Fax:205-655-7020
Is Sole Proprietor?:No
Enumeration Date:2006-11-07
Last Update Date:2007-11-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL26241207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL51001854OtherBCBS OF ALABAMA
AL51001854OtherBCBS OF ALABAMA
H52898Medicare UPIN