Individual
MEREDITH LULICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
7 E MAIN ST, GOSPORT, IN 47433-7034
(812) 879-4222
(812) 879-4834
Mailing address
PO BOX 1329, BLOOMINGTON, IN 47402-1329
(812) 353-3996
(812) 353-5859
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
01068501
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200992280
—
IN
Enumeration date
06/21/2007
Last updated
12/18/2020
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