Provider Demographics
NPI:1326167420
Name:MILLER-LANE, KAREN (ND, LAC)
Entity Type:Individual
Prefix:DR
First Name:KAREN
Middle Name:
Last Name:MILLER-LANE
Suffix:
Gender:F
Credentials:ND, LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:50 COURT ST
Mailing Address - Street 2:
Mailing Address - City:MIDDLEBURY
Mailing Address - State:VT
Mailing Address - Zip Code:05753-1419
Mailing Address - Country:US
Mailing Address - Phone:802-388-6250
Mailing Address - Fax:802-388-6250
Practice Address - Street 1:50 COURT ST
Practice Address - Street 2:
Practice Address - City:MIDDLEBURY
Practice Address - State:VT
Practice Address - Zip Code:05753-1419
Practice Address - Country:US
Practice Address - Phone:802-388-6250
Practice Address - Fax:802-388-6250
Is Sole Proprietor?:No
Enumeration Date:2007-03-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VT091-0000165171100000X
VT099-0000143175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered171100000XOther Service ProvidersAcupuncturist
Not Answered175F00000XOther Service ProvidersNaturopath