Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207T00000X | Neurosurgeon | 50690 | MN |
N | 207T00000X | Neurosurgeon | OS013649 | PA |
NPI | 1013084615 |
---|---|
Provider Name | Dr. Lynn M Miller |
First Address | North Oaks, MN 55127-6352 |
Second Address | North Oaks, MN 55127-6352 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/11/2006 |
Last Update Date | 18/04/2016 |