Organization
LEXI MILLER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LEXI MILLER (LICENSED PRACTITIONER)
(952) 895-5038
Entity
Organization
Contact information
Practice address
2308 FRIENDSHIP LN, BURNSVILLE, MN 55337-4217
(952) 923-0655
Mailing address
55 BIRNAMWOOD DR, BURNSVILLE, MN 55337-2977
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
M4020
MN
347C00000X
Private Vehicle
Primary
X554209453714
MN
Other
Enumeration date
08/05/2016
Last updated
08/05/2016
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