Lynn M Miller, DO
Individual provider Active NPI Neurological Surgery Physician · North Oaks, MN
NPI 1013084615 · NPPES record last updated Apr 18, 2016
Key facts
- NPI
- 1013084615
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Neurological Surgery Physician 207T00000X
- License
- 50690 (MN)
- Practice address
- 6 Red Forest LN
North Oaks, MN 55127-6352 - Phone
- (612) 888-1433
- NPI assigned
- Nov 29, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy, Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OS013649 | PA | MD | Neurological Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Central Minnesota Neurosciences LTD | Neurological Surgery | Past | Accepting new patients |
| Minnesota Disc Replacement and Spine Restoration Center | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurological Surgery Physician | 207T00000X | OS013649 | PA | |
| Neurological Surgery Physician | 207T00000X | 50690 | MN | Yes |
Addresses
Primary practice location
6 Red Forest LN
North Oaks, MN 55127-6352
Mailing address
6 Red Forest LN
North Oaks, MN 55127-6352
Phone (612) 888-1433
Other providers in North Oaks, MN
- Gary Lunstad
- Kelly Rae McGraw
- Metropolitan Pediatric Dental Associates, LTD
- Michael W Furey DDS, PA
- Sara Marie Michel
- Minnesota Vein Center, P.a.
- Modern Dental Professionals MN PC
- Ladan Mohamed
- Yasin Farah Mohamed
- Momenta, PC
All providers in North Oaks, MN · Neurological Surgery Physician in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 18, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.