Provider Demographics
NPI:1922218726
Name:MCMILLIAN, LORI ANN (DC)
Entity Type:Individual
Prefix:
First Name:LORI
Middle Name:ANN
Last Name:MCMILLIAN
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:LORI
Other - Middle Name:ANN
Other - Last Name:JEMISON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DC
Mailing Address - Street 1:5380 PATTERSON RD
Mailing Address - Street 2:
Mailing Address - City:MONTGOMERY
Mailing Address - State:AL
Mailing Address - Zip Code:36116-5804
Mailing Address - Country:US
Mailing Address - Phone:334-303-4938
Mailing Address - Fax:
Practice Address - Street 1:7212 COPPERFIELD DR
Practice Address - Street 2:
Practice Address - City:MONTGOMERY
Practice Address - State:AL
Practice Address - Zip Code:36117-7100
Practice Address - Country:US
Practice Address - Phone:334-440-6286
Practice Address - Fax:334-647-1404
Is Sole Proprietor?:No
Enumeration Date:2007-05-23
Last Update Date:2021-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL2316111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor