Individual
DR. LORI A DEEMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
120 W MCKENZIE RD STE H, GREENFIELD, IN 46140-1072
(317) 462-2335
(317) 462-2069
Mailing address
ONE MEMORIAL SQUARE, SUITE 50, GREENFIELD, IN 46140-1357
(317) 468-6257
(317) 468-6268
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01058228A
IN
207QB0002X
Obesity Medicine (Family Medicine) Physician
01058228A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000369484
ANTHEM PIN#
IN
05
—
200478180
—
IN
01
—
20311740
MEDICAID GROUP#
IN
01
—
7217665
AETNA PIN#
IN
01
—
P00262219
MEDICARE RAILROAD#
IN
Enumeration date
08/12/2005
Last updated
10/06/2017
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