Most Relevant Information
Provider Data
| NPI Number: | 1003688441 |
| Provider Name: | LEZLIE MARIE MILLER RD |
| Entity Type: | Individual |
| Taxonomy Code: | 133V00000X |
| Specialty: | Dietitian, Registered |
| License Number: | 0723 |
Most Important Dates
| Enumeration Date: | 10/30/2023 |
| Last Updated: | 04/15/2024 |
Provider Practice Location
113 COMANCHE RD
FORT MEADE
SD
577411002
Practice Location Phone/Fax
| Phone: | 6053471609 |
| Fax: | 6127251318 |
Provider Mailing Location
5830 DERRINGER RD
RAPID CITY
SD
577039054
Provider Mailing Phone/Fax
| Phone: | 6058815183 |
| Fax: |