Provider Demographics
NPI:1902879067
Name:MILLER, LAWRENCE ROSS (MD)
Entity Type:Individual
Prefix:DR
First Name:LAWRENCE
Middle Name:ROSS
Last Name:MILLER
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:PO BOX 515110
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90051-5110
Mailing Address - Country:US
Mailing Address - Phone:310-657-2202
Mailing Address - Fax:310-289-9933
Practice Address - Street 1:8500 WILSHIRE BLVD
Practice Address - Street 2:STE 1018
Practice Address - City:BEVERLY HILLS
Practice Address - State:CA
Practice Address - Zip Code:90211-3108
Practice Address - Country:US
Practice Address - Phone:310-747-7246
Practice Address - Fax:310-439-7246
Is Sole Proprietor?:No
Enumeration Date:2006-02-09
Last Update Date:2018-05-09
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAG597392081P2900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2081P2900XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationPain Medicine