Individual
THOMAS LOWELL MEYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5177 MCCARTY LN, LAFAYETTE, IN 47905-8764
(765) 448-8488
(765) 448-1160
Mailing address
1200 W WHITE RIVER BLVD, MUNCIE, IN 47303-4988
(877) 668-5621
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
01046977A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000190585
ANTHEM PROVIDER NUMBER
IN
01
—
10825592
CAQH NUMBER
IN
05
—
200166020
—
IN
01
—
9397321
PHCS PID NUMBER
IN
Enumeration date
03/17/2006
Last updated
01/27/2021
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