Healthcare Provider Details

I. General information

NPI: 1326895160
Provider Name (Legal Business Name): LEXI MEYERS PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/30/2024
Last Update Date: 12/18/2025
Certification Date: 12/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

35735 MOUND RD STE 100
STERLING HEIGHTS MI
48310-4728
US

IV. Provider business mailing address

35735 MOUND RD STE 100
STERLING HEIGHTS MI
48310-4796
US

V. Phone/Fax

Practice location:
  • Phone: 586-261-1960
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number5601012779
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: