Provider Demographics
NPI:1598200727
Name:MILLAR, ALLISON (LAC)
Entity Type:Individual
Prefix:
First Name:ALLISON
Middle Name:
Last Name:MILLAR
Suffix:
Gender:F
Credentials:LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:160 UPPER TROY RD
Mailing Address - Street 2:
Mailing Address - City:FITZWILLIAM
Mailing Address - State:NH
Mailing Address - Zip Code:03447-3146
Mailing Address - Country:US
Mailing Address - Phone:603-721-9388
Mailing Address - Fax:
Practice Address - Street 1:103 ROXBURY ST STE 200D
Practice Address - Street 2:
Practice Address - City:KEENE
Practice Address - State:NH
Practice Address - Zip Code:03431-3800
Practice Address - Country:US
Practice Address - Phone:603-721-9388
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-12-25
Last Update Date:2018-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH249171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist