MEDICARE: DR. STEPHEN L MYERS M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	173000000X	Legal Medicine	01029250A	IN

General Provider Information

NPI Number	:	1245329036
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. STEPHEN L MYERS M.D.

Provider Business Mailing Address
First Line	:	LILLY RESEARCH LABORATORIES
Second Line	:	LILLY CORPORATE CENTER
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46285-0001
Country	:	US
Telephone Number	:	317-433-3780
Fax Number	:	317-276-9086

Provider Business Practice Location Address
First Line	:	LILLY RESEARCH LABORATORIES
Second Line	:	LILLY CORPORATE CENTER
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46285-0001
Country	:	US
Telephone Number	:	317-433-3780
Fax Number	:	317-276-9086

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/12/2006
Last Update Date	:	07/08/2007

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