Individual
LINDA LOIS MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
346 LARPENTEUR AVE W, SAINT PAUL, MN 55113-6712
(651) 645-9887
(651) 645-9884
Mailing address
346 LARPENTEUR AVE W, SAINT PAUL, MN 55113-6712
(651) 645-9887
(651) 645-9884
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
SSN
—
MN
Enumeration date
12/08/2022
Last updated
12/08/2022
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