Provider Demographics
NPI:1821398553
Name:MILLER, LINDSEY JENNIFER
Entity Type:Individual
Prefix:
First Name:LINDSEY
Middle Name:JENNIFER
Last Name:MILLER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:421 W CANFIELD ST
Mailing Address - Street 2:ROOM 3217
Mailing Address - City:DETROIT
Mailing Address - State:MI
Mailing Address - Zip Code:48201-1219
Mailing Address - Country:US
Mailing Address - Phone:313-577-7917
Mailing Address - Fax:313-577-7552
Practice Address - Street 1:4201 SAINT ANTOINE ST
Practice Address - Street 2:UNIVERSITY HEALTH CENTER SUITE8A
Practice Address - City:DETROIT
Practice Address - State:MI
Practice Address - Zip Code:48201-2153
Practice Address - Country:US
Practice Address - Phone:313-745-4275
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-10-28
Last Update Date:2010-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes170300000XOther Service ProvidersGenetic Counselor, MS