Provider Demographics
NPI:1134471147
Name:MILLER, LINDSIE (DC)
Entity Type:Individual
Prefix:
First Name:LINDSIE
Middle Name:
Last Name:MILLER
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4948 EMMIT DR N
Mailing Address - Street 2:UNIT 2
Mailing Address - City:HUGO
Mailing Address - State:MN
Mailing Address - Zip Code:55038-8557
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:2800 RICE ST
Practice Address - Street 2:SUITE 158
Practice Address - City:LITTLE CANADA
Practice Address - State:MN
Practice Address - Zip Code:55113-2275
Practice Address - Country:US
Practice Address - Phone:608-397-9946
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-10-15
Last Update Date:2012-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN5678111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor