Provider Demographics
NPI:1104986967
Name:MILLER, LEANN KAY (LICENSEDACUPUNCTURIS)
Entity type:Individual
Prefix:
First Name:LEANN
Middle Name:KAY
Last Name:MILLER
Suffix:
Gender:F
Credentials:LICENSEDACUPUNCTURIS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3210 BOULDER CIR UNIT 202
Mailing Address - Street 2:
Mailing Address - City:BROOMFIELD
Mailing Address - State:CO
Mailing Address - Zip Code:80020-4272
Mailing Address - Country:US
Mailing Address - Phone:303-523-3436
Mailing Address - Fax:
Practice Address - Street 1:22954 E SMOKY HILL RD
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80016-1382
Practice Address - Country:US
Practice Address - Phone:303-523-3436
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO808171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist