Individual
DR. LANCE TREXLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
4141 SHORE DR, INDIANAPOLIS, IN 46254-2607
(317) 329-2000
Mailing address
9531 VALPARAISO CT, INDIANAPOLIS, IN 46268-1130
(317) 879-8940
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
20010506A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000353205
ANTHEM BCBS
IN
01
—
016772
SIHO
IN
05
—
100063230
—
IN
Enumeration date
04/03/2007
Last updated
07/01/2011
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