Provider Demographics
NPI:1629430475
Name:MIGLIORE, LINDSEY LOUISE (DO)
Entity type:Individual
Prefix:
First Name:LINDSEY
Middle Name:LOUISE
Last Name:MIGLIORE
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4800 CORDOVA ST
Mailing Address - Street 2:
Mailing Address - City:ANCHORAGE
Mailing Address - State:AK
Mailing Address - Zip Code:99503-7218
Mailing Address - Country:US
Mailing Address - Phone:907-561-3333
Mailing Address - Fax:
Practice Address - Street 1:4800 CORDOVA ST
Practice Address - Street 2:
Practice Address - City:ANCHORAGE
Practice Address - State:AK
Practice Address - Zip Code:99503-7218
Practice Address - Country:US
Practice Address - Phone:907-561-3333
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-03-22
Last Update Date:2025-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCH0089110208100000X
AK217958208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationGroup - Single Specialty