LYNNETTE DEANNE MILLER CSA
NPI 1225259112
Physician Assistant - Surgical in Racine, MN
Active since May 01, 2007
About Lynnette Deanne Miller Csa NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LYNNETTE DEANNE MILLER CSA (NPI 1225259112) is an individual surgical provider in Racine, Minnesota and active in the NPI registry since May 2007.
NPPES Registry Identity
NPI1225259112
Entity TypeIndividualFemale
Primary Taxonomy363AS0400X
Provider Legal NameLYNNETTE DEANNE MILLERCredential: CSA
Location Address32492 750TH AVERacine, MN 55967-8588
Mailing Address32492 750th AveRacine, MN 55967-8588
Phone(507) 255-1470
Sole ProprietorNo
Enumeration DateMay 1, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1225259112 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
32492 750TH AVE, Racine, MN 55967
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Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1225259112, enumerated as an "individual" on May 01, 2007.
The provider is located at 32492 750TH AVE RACINE, MN 55967 and the phone number is (507) 255-1470.
Physician Assistant with taxonomy code 363AS0400X and a focus in Surgical.
