Provider Demographics
NPI:1982938742
Name:MILLIRON, REBECCA L (LPN, SA-C)
Entity Type:Individual
Prefix:MRS
First Name:REBECCA
Middle Name:L
Last Name:MILLIRON
Suffix:
Gender:F
Credentials:LPN, SA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:108 CLIFF ST
Mailing Address - Street 2:
Mailing Address - City:PUNXSUTAWNEY
Mailing Address - State:PA
Mailing Address - Zip Code:15767-2240
Mailing Address - Country:US
Mailing Address - Phone:814-249-3189
Mailing Address - Fax:
Practice Address - Street 1:108 CLIFF ST
Practice Address - Street 2:
Practice Address - City:PUNXSUTAWNEY
Practice Address - State:PA
Practice Address - Zip Code:15767-2240
Practice Address - Country:US
Practice Address - Phone:814-249-3189
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-09-28
Last Update Date:2009-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246ZC0007XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherSurgical Assistant