Provider Demographics
NPI:1609876184
Name:MILLER, LORN SCOTT (MD)
Entity Type:Individual
Prefix:DR
First Name:LORN
Middle Name:SCOTT
Last Name:MILLER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:9401 SW HIGHWAY 200 STE 301
Mailing Address - Street 2:
Mailing Address - City:OCALA
Mailing Address - State:FL
Mailing Address - Zip Code:34481-9648
Mailing Address - Country:US
Mailing Address - Phone:352-291-9459
Mailing Address - Fax:352-291-9465
Practice Address - Street 1:9401 SW HIGHWAY 200 STE 301
Practice Address - Street 2:
Practice Address - City:OCALA
Practice Address - State:FL
Practice Address - Zip Code:34481-9648
Practice Address - Country:US
Practice Address - Phone:352-291-9459
Practice Address - Fax:352-291-9465
Is Sole Proprietor?:Yes
Enumeration Date:2005-07-27
Last Update Date:2023-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL000214882084N0400X
FLME127827207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL0000055874OtherGUIDESTAR
010603198OtherAMR CORP
010603198OtherUNITED AMERICA
AL051551766Medicaid
TN4045230OtherBLUE CROSS BLUE SHIELD - TENNESSEE
AL8379072001OtherCIGNA
010603198OtherPHYSICIANS MUTUAL
H59000OtherVIVA
010603198OtherCT GENERAL
010603198OtherARTHUR G. GALLAGHER
AL7113388OtherAETNA
AL010603198OtherTRICARE-HUMANA
AL51509187OtherBLUECROSS AL
H59000OtherHEALTH SPRINGS
H59000OtherVIVA
AL7113388OtherAETNA