Provider Demographics
NPI:1528231305
Name:MILLER, LORI B (AUD, CCC-A)
Entity Type:Individual
Prefix:DR
First Name:LORI
Middle Name:B
Last Name:MILLER
Suffix:
Gender:F
Credentials:AUD, CCC-A
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4904 E ROSA PARKS PL
Mailing Address - Street 2:
Mailing Address - City:SIOUX FALLS
Mailing Address - State:SD
Mailing Address - Zip Code:57110-4041
Mailing Address - Country:US
Mailing Address - Phone:605-274-8663
Mailing Address - Fax:605-581-0066
Practice Address - Street 1:4904 E ROSA PARKS PL
Practice Address - Street 2:
Practice Address - City:SIOUX FALLS
Practice Address - State:SD
Practice Address - Zip Code:57110-4041
Practice Address - Country:US
Practice Address - Phone:605-274-8663
Practice Address - Fax:605-581-0066
Is Sole Proprietor?:No
Enumeration Date:2008-04-11
Last Update Date:2023-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SD304A237600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid Fitter
Provider Identifiers
StateIdentifier IDID TypeIssuer
SD304AOtherLICENSED AUDIOLOGIST