Provider Demographics
NPI:1730472259
Name:MILLER, LILLIAN DANIELLE (MED, LADC U/S)
Entity Type:Individual
Prefix:MS
First Name:LILLIAN
Middle Name:DANIELLE
Last Name:MILLER
Suffix:
Gender:F
Credentials:MED, LADC U/S
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1520 E LINDSEY ST APT F
Mailing Address - Street 2:
Mailing Address - City:NORMAN
Mailing Address - State:OK
Mailing Address - Zip Code:73071-2248
Mailing Address - Country:US
Mailing Address - Phone:580-421-5848
Mailing Address - Fax:
Practice Address - Street 1:1520 E LINDSEY ST APT F
Practice Address - Street 2:
Practice Address - City:NORMAN
Practice Address - State:OK
Practice Address - Zip Code:73071-2248
Practice Address - Country:US
Practice Address - Phone:580-421-5848
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-05-17
Last Update Date:2011-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)