Provider Demographics
NPI:1922066372
Name:MULLER, RAYMOND F (LAC)
Entity Type:Individual
Prefix:MR
First Name:RAYMOND
Middle Name:F
Last Name:MULLER
Suffix:
Gender:M
Credentials:LAC
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Mailing Address - Street 1:1301 BROADWAY
Mailing Address - Street 2:SUITE 5
Mailing Address - City:MILLBRAE
Mailing Address - State:CA
Mailing Address - Zip Code:94030-1336
Mailing Address - Country:US
Mailing Address - Phone:650-872-2287
Mailing Address - Fax:650-872-2286
Practice Address - Street 1:1301 BROADWAY
Practice Address - Street 2:SUITE 5
Practice Address - City:MILLBRAE
Practice Address - State:CA
Practice Address - Zip Code:94030-1336
Practice Address - Country:US
Practice Address - Phone:650-872-2287
Practice Address - Fax:650-872-2286
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-05-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAAC3102171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist