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Individual
DR. LYNN M MILLER
Active
Individual
DR. LYNN M MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DC
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4012
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
325J4MI
BLUE CROSS BLUE SHEILD
MN
01
—
350001701
MEDICARE PROVIDER
MN
Enumeration date
12/28/2007
Last updated
11/14/2019
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