Individual
THOMAS LEROY DEXTER III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
9861 LINCOLN PLAZA WAY UNIT 8, CEDAR LAKE, IN 46303-7301
(615) 915-8324
Mailing address
1132 THERESA DR, SCHERERVILLE, IN 46375-1545
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
05/23/2021
Last updated
09/07/2023
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