Provider Demographics
NPI:1396004891
Name:MILLER, ROCHELLE AUBERT (LAC)
Entity Type:Individual
Prefix:MS
First Name:ROCHELLE
Middle Name:AUBERT
Last Name:MILLER
Suffix:
Gender:F
Credentials:LAC
Other - Prefix:MS
Other - First Name:ROCHELLE
Other - Middle Name:DENISE
Other - Last Name:AUBERT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LAC
Mailing Address - Street 1:5930 HAMILTON BLVD STE 8
Mailing Address - Street 2:
Mailing Address - City:ALLENTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18106-9654
Mailing Address - Country:US
Mailing Address - Phone:610-653-0310
Mailing Address - Fax:
Practice Address - Street 1:5930 HAMILTON BLVD STE 8
Practice Address - Street 2:
Practice Address - City:ALLENTOWN
Practice Address - State:PA
Practice Address - Zip Code:18106-9654
Practice Address - Country:US
Practice Address - Phone:610-653-0310
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-05-04
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAAK001041171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist