Provider Demographics
NPI:1295898377
Name:MILLER, LINDA ROE (VMD)
Entity type:Individual
Prefix:DR
First Name:LINDA
Middle Name:ROE
Last Name:MILLER
Suffix:
Gender:F
Credentials:VMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 235
Mailing Address - Street 2:25595 TOKEN OAK LN
Mailing Address - City:CHAPTICO
Mailing Address - State:MD
Mailing Address - Zip Code:20621-0235
Mailing Address - Country:US
Mailing Address - Phone:301-884-5141
Mailing Address - Fax:301-884-2094
Practice Address - Street 1:25595 TOKEN OAK LN
Practice Address - Street 2:
Practice Address - City:CHAPTICO
Practice Address - State:MD
Practice Address - Zip Code:20621-0235
Practice Address - Country:US
Practice Address - Phone:301-884-5141
Practice Address - Fax:301-884-2094
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD2181174M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174M00000XOther Service ProvidersVeterinarian