Individual
DR. MELISSA MAE PEARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1701 S CREASY LN, LAFAYETTE, IN 47905-4972
(765) 502-4949
(765) 502-4187
Mailing address
PO BOX 781076, DETROIT, MI 48278-1076
(317) 528-4800
(317) 865-1479
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01068241A
IN
207QH0002X
Hospice and Palliative Medicine (Family Medicine) Physician
01068241A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000001077939
ANTHEM PROVIDER NUMBER
IN
05
—
200994680
—
IN
Enumeration date
08/26/2008
Last updated
08/11/2025
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