Individual
DR. LYNN D MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1100 BALSAM AVE, BOULDER, CO 80304-3404
(303) 440-2092
Mailing address
PO BOX 668, ARVADA, CO 80001-0668
(303) 422-9438
(303) 422-9474
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
29040
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01290402
—
CO
Enumeration date
07/03/2006
Last updated
09/28/2007
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