Best Lyme Disease Doctor: How to Choose the Right One

There is no single best Lyme disease doctor, because the right fit depends on your stage of illness, your symptoms, and the kind of care you want. Dr. Diane Mueller, ND, LAc, DAOM, treats long-lasting Lyme symptoms by video visit for patients in 11 states, and My Lyme Doc has worked with more than 1,000 patients.

Key Takeaways

  • The best Lyme disease doctor for you is the one whose training, treatment approach, cost, and location match your situation, so compare candidates on those four points.
  • Three types of clinicians commonly treat Lyme: infectious disease specialists, ILADS-trained clinicians, and integrative or functional medicine doctors.
  • Each type follows different guidance on symptoms that last after treatment, so ask every candidate which guideline they use.
  • Red flags include promises of full recovery on a timeline, one protocol for every patient, and long antibiotic courses with no stated endpoint.
  • My Lyme Doc offers video visits in 11 states, a $300 first visit, and care built on Dr. Mueller’s 4-phase method.

A false negative Lyme test can leave you with years of symptoms and no plan, which is why the choice of doctor matters. This guide gives you a way to judge any Lyme doctor yourself.

woman at a kitchen table with a laptop and a notebook of questions, preparing for a video visit with a Lyme doctor

Is there a single best Lyme disease doctor?

No single Lyme disease doctor is best for every patient, because patients arrive at very different points in the illness. Someone with a fresh tick bite and an expanding rash needs different care than someone with five years of fatigue, pain, and brain fog.

The CDC says most cases of Lyme disease can be treated with 10 days to 4 weeks of antibiotics. For symptoms that last after treatment, the choice of doctor can matter more.

A list that crowns one doctor for the whole country cannot know your stage, your state, or your budget. Use the criteria below to compare candidates on the points that affect your care.

The three types of Lyme doctors and when each fits

Three types of clinicians commonly treat Lyme disease: infectious disease specialists, ILADS-trained clinicians, and integrative or functional medicine doctors.

ILADS is the International Lyme and Associated Diseases Society, a nonprofit medical society focused on the diagnosis and treatment of Lyme and its associated diseases. It publishes its own treatment recommendations and runs a provider search of its members.

Lyme-literate is a term for a clinician with experience diagnosing and treating Lyme disease. Ask each clinician what experience and training sit behind the label.

TypeOften a fit whenGuidance it follows for lasting symptomsAsk about
Infectious disease specialistEarly or newly diagnosed Lyme, or a clear infection to confirm or rule outOften the 2020 AAN/ACR/IDSA guideline, which recommends against additional antibiotics for nonspecific lasting symptoms without objective evidence of treatment failureBoard certification, and how they look for other causes
ILADS-trained clinicianYou want a clinician who works from ILADS recommendationsILADS’s own published treatment recommendationsWhich ILADS guidance they follow, what training they completed, and how they monitor treatment
Integrative or functional medicine doctorSymptoms span several body systems and you want gut, hormones, mold, and nervous system reviewed togetherVaries by practiceLicense type, how they work with your other doctors, and what is billed separately

ILADS has a sister organization, ILADEF, that runs a training program for clinicians. Its page describes one-on-one mentorship with at least 20 hours of shadowing and at least five supervised cases over six months. The page does not describe the program as a certification. Side-by-side comparison of three Lyme doctor types and the guidance each follows

The two sets of guidance are separate documents, so ask which one a clinician follows. For a longer walk-through of the label itself, see our guide to finding a Lyme-literate doctor.

How each type handles symptoms that last after treatment

Each type of Lyme doctor follows its own guidance for symptoms that last after standard antibiotics.

The CDC calls these symptoms post-treatment Lyme disease syndrome and says six months after treatment they are 5 to 10% more common in people who had Lyme. It adds that studies of extended antibiotic courses found them no better than placebo for prolonged symptoms. It also links long-term antibiotic use to serious complications.

Post-treatment Lyme disease syndrome (PTLDS) is the CDC’s name for fatigue, pain, or thinking problems that continue after a recommended course of Lyme treatment. The CDC says its cause is currently unknown.

The 2020 guideline reaches a similar position for patients without objective evidence of treatment failure. ILADS-trained clinicians work from ILADS recommendations instead, and some integrative doctors start by supporting the body before treating microbes.

All three types share one piece of common ground. The CDC tells patients to work with a provider to evaluate all possible causes of their symptoms, and a good doctor of any type keeps looking.

Co-infections and mold: what to ask any Lyme doctor

A strong Lyme doctor checks for other causes of illness, including tick-borne co-infections and mold exposure.

Co-infections are other tick-borne infections, such as Babesia, that can cause symptoms overlapping with Lyme disease.

The CDC notes that ticks in the United States can spread bacteria, viruses, and parasites, and that many tickborne diseases have similar signs and symptoms. A symptom list alone cannot separate them. Our guide to co-infection testing explains how testing works.

Mold needs the same question. The CDC says the health effects of mold are different for different people, so your home and work history matters as much as any lab. Our guide to doctors who treat mold illness covers that side.

Eight questions to ask a Lyme doctor before you book

Eight questions can help you compare any Lyme doctor on the points that affect your care.

  1. Which guideline do you follow for diagnosis and treatment, and why? The American Lyme Disease Foundation suggests asking about Lyme experience and whether the clinician follows the IDSA guidelines.
  2. What license and board certifications do you hold? You can confirm a license with the state board that licenses that type of clinician.
  3. How do you approach symptoms that last after standard treatment? Listen for reasoning, not slogans.
  4. How do you look for co-infections and mold exposure? The answer should include your history, not only one test.
  5. What do you treat first, and when do we review the plan? A clear order beats an open-ended protocol.
  6. What happens if I am not improving? A good answer names a next step.
  7. What does the first visit cost, and what is billed separately? You should know costs before anything is ordered.
  8. Can I reach you between visits, and who answers? Ask what is included.

To work out whether you need a specialist at all, read our guide to signs you need a Lyme disease specialist.

Red flags when choosing a Lyme doctor

Seven red flags should slow you down when you compare Lyme doctors, whichever type they are.

  • Promises of full recovery on a fixed timeline.
  • One protocol for every patient, with nothing individualized.
  • Long antibiotic courses with no stated endpoint or monitoring plan. The CDC has linked long-term antibiotic use to serious complications.
  • One test presented as the explanation for everything.
  • A clinician who dismisses your symptoms or will not discuss other causes.
  • Pressure to prepay for a long package before a workup.
  • Prices you cannot see until after you commit.

Cost, insurance, and telehealth access

Cost and access often decide which Lyme doctor you can actually see, so ask about both before you book.

Video visits can widen your choices beyond your area. A practice can only see you if you are in a state it serves, so confirm your state first. Insurance policies differ by practice, so ask whether they bill insurance, give you documents to submit, or take direct payment.

For a walk-through of how a video visit works, see our guide to an online functional medicine doctor for Lyme and mold.

Where My Lyme Doc fits

My Lyme Doc is a Lyme and mold illness practice led by Dr. Diane Mueller, ND, LAc, DAOM, author of “It’s Not in Your Mind,” and it has worked with more than 1,000 patients.

The practice fits patients who want an integrative doctor and care by video visit. Dr. Mueller is a naturopathic doctor and licensed acupuncturist, not a medical doctor (MD). You can read her background on the About page.

Care is by video visit for patients in Colorado, Oregon, Wyoming, New Jersey, Pennsylvania, Texas, Wisconsin, New Hampshire, Alabama, South Dakota, and Vermont.

Dr. Mueller’s 4-phase method sets the order of care:

  1. Build the body first. Support the foundations before treating microbes.
  2. Lifestyle and nervous system. Regulation work, including the Neuro Reset Program.
  3. Gentle, strategic detox. Paced to keep reactions small.
  4. Targeted microbe balancing and repair. Work on the microbes once the body can tolerate it.

You can read more about how this looks in practice in our guide to Lyme disease treatment.

“I had gone to 20 top specialists over 3 years and was not able to get a diagnosis.” Rose M., Austin, Texas, My Lyme Doc patient

The first visit is a $300 video visit. Ongoing care is a membership from $400 to $1,100 per month. Labs, supplements, and prescription medications are billed separately, and costs are shown before anything is ordered. Details are on the pricing page.

My Lyme Doc is not the right first stop for everyone:

  • If you have a new tick bite with an expanding rash or fever, get prompt care from a local provider.
  • If you have chest pain, trouble breathing, or sudden weakness, call 911.
  • If you live outside the 11 states, you can still be a patient if you can travel to one of these states at least once a year and have your appointments there.

If this approach sounds like the fit you want, you can book a video visit with Dr. Mueller.

Common Questions

No single doctor holds that title. The best fit is a clinician whose training, treatment approach, cost, and states of practice match your situation. Use the eight questions above to compare candidates.

It depends on what you need. Infectious disease specialists commonly work from the 2020 AAN/ACR/IDSA guideline, ILADS-trained clinicians from ILADS recommendations, and integrative doctors often review several body systems together.

Neither is better in every case. They follow different guidance on lasting symptoms, so choose the one whose reasoning you understand and trust.

Yes, if the practice serves your state. My Lyme Doc sees patients by video visit in 11 states, including Colorado, Texas, and Pennsylvania.

A treatment center fits you when its approach matches your stage of illness and its costs are clear. Ask the same eight questions of any center before you commit.

Costs vary by practice. At My Lyme Doc, the first video visit is $300, and membership runs $400 to $1,100 per month, with labs, supplements, and prescriptions billed separately.

Written and medically reviewed by Dr. Diane Mueller, ND, LAc, DAOM | Last reviewed: October 19, 2026

This article is for educational purposes and is not medical advice. It does not replace evaluation by a qualified clinician who knows your history. Work with your doctor before ordering tests or making any change to your care.

Have Lyme Disease or suspect you do?

We have helped thousands of people in Colorado, Oregon, Wyoming, New Jersey, Pennsylvania, Texas, Wisconsin, New Hampshire, Alabama, South Dakota, and Vermont restore their health and  quality of life by diagnosing and treating their Lyme Disease.

Free Lyme/Mold Webinar: "Why Am I Still Sick?"

Have Lyme Disease or suspect that you do?

We have helped thousands of
people restore their health
and quality of life by diagnosing
and treating their Lyme Disease.

“Dr. Mueller’s approach to medicine is refreshing! There is only so much you can do with western medicine and in my life I was needing a new approach.  By addressing the whole body, nutritional diet factors, environmental factors, blood work, and incorporating ideas I had not previously known, I was able to break through with my conditions.  I am not only experiencing less pain in my life, but through the process of healing guided by Dr. Diane Mueller, I am now happy to say I have more consciousness surrounding how I eat, what to eat and when things are appropriate.  Living by example Dr. Mueller has a vibrancy that makes you want to learn and know more about your body and overall health.  I highly recommend her to anyone looking for new answers, a new approach to health, or in need of freedom from pain and limitations.”

-Storie S.

Kihei, HI

Lyme Disease is Often Misdiagnosed as Fibromyalgia, Chronic Fatigue, Depression,
or Other Illnesses

End Chronic Fatigue, Pain, Brain Fog &
More Taught By Expert Dr. Diane Mueller