Provider Demographics
NPI:1194069047
Name:MILLIGAN, CYNTHIA LYNN (L AC)
Entity type:Individual
Prefix:
First Name:CYNTHIA
Middle Name:LYNN
Last Name:MILLIGAN
Suffix:
Gender:F
Credentials:L AC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2753 LYNN RD
Mailing Address - Street 2:SUITE G
Mailing Address - City:TRYON
Mailing Address - State:NC
Mailing Address - Zip Code:28782-6855
Mailing Address - Country:US
Mailing Address - Phone:828-817-4734
Mailing Address - Fax:
Practice Address - Street 1:2753 LYNN RD
Practice Address - Street 2:
Practice Address - City:TRYON
Practice Address - State:NC
Practice Address - Zip Code:28782-6855
Practice Address - Country:US
Practice Address - Phone:828-817-4734
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-11-15
Last Update Date:2014-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC646171100000X
FLAP3055171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist