National Provider Identifier
Shon Lamont Miller
Shon Lamont Miller is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse in Rochester, NY and a listed phone number of (585) 284-6802.
Profile Overview
- NPI
- 1407626229
- Provider Type
- Individual
- Primary Specialty
- Licensed Practical Nurse
- Enumeration Date
- January 03, 2024
- Last Updated
- January 03, 2024
Practice Location
- 16 Lake Ave Apt 2
- Rochester, NY 14608-1419
Phone: (585) 284-6802
Mailing Address
- PO Box 14225
- Rochester, NY 14614-0225
Specialties
- Licensed Practical Nurse (164W00000X)
Full Record
- NPI
- 1407626229
- Entity Type
- Individual
- Last Name
- Miller
- First Name
- Shon
- Middle Name
- Lamont
- Mailing Street Address
- PO Box 14225
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14614-0225
- Mailing Country
- US
- Mailing Phone
- (585) 284-6802
- Practice Street Address
- 16 Lake Ave Apt 2
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14608-1419
- Practice Country
- US
- Practice Phone
- (585) 284-6802
- Enumeration Date
- January 03, 2024
- Last Updated
- January 03, 2024
- Sex
- Male
- Sole Proprietor
- Yes
- Certification Date
- January 03, 2024
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Licensed Practical Nurse (164W00000X)