Provider Demographics
NPI:1740334846
Name:MILLER, HELEN L (LAC)
Entity type:Individual
Prefix:MRS
First Name:HELEN
Middle Name:L
Last Name:MILLER
Suffix:
Gender:F
Credentials:LAC
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Mailing Address - Street 1:500 ELM GROVE RD
Mailing Address - Street 2:SUITE 325
Mailing Address - City:ELM GROVE
Mailing Address - State:WI
Mailing Address - Zip Code:53122-2546
Mailing Address - Country:US
Mailing Address - Phone:262-782-1616
Mailing Address - Fax:
Practice Address - Street 1:500 ELM GROVE RD
Practice Address - Street 2:SUITE 325
Practice Address - City:ELM GROVE
Practice Address - State:WI
Practice Address - Zip Code:53122-2546
Practice Address - Country:US
Practice Address - Phone:262-782-1616
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-01-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI60-055171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist