Individual
MARY LYNN MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
20 COMMERCIAL RD, LEOMINSTER, MA 01453-3306
(978) 435-6100
Mailing address
5 PATRICK HENRY CIR, ACTON, MA 01720-2134
(978) 263-1909
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
40168
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0801700
UNITED HEALTH CARE
MA
01
—
3748795
AETNA HEALTH INSURANCE PR
MA
05
—
6195474
—
MA
01
—
717866
TUFTS HEALTH PLAN
MA
01
—
9900841
FALLON COMMUNITY HEALTH P
MA
01
—
AA30748
HARVARDPILGRIM
MA
01
—
B30168
BLUE CROSS BLUE SHIELD
MA
Enumeration date
10/09/2005
Last updated
07/08/2007
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