Provider Demographics
NPI:1588631220
Name:MEIER, LEE A (CRNA)
Entity type:Individual
Prefix:
First Name:LEE
Middle Name:A
Last Name:MEIER
Suffix:
Gender:M
Credentials:CRNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1426
Mailing Address - Street 2:
Mailing Address - City:DENISON
Mailing Address - State:TX
Mailing Address - Zip Code:75021-1426
Mailing Address - Country:US
Mailing Address - Phone:903-465-6043
Mailing Address - Fax:903-463-4496
Practice Address - Street 1:2402 W MORTON ST
Practice Address - Street 2:STE 146
Practice Address - City:DENISON
Practice Address - State:TX
Practice Address - Zip Code:75020-1476
Practice Address - Country:US
Practice Address - Phone:903-465-6043
Practice Address - Fax:903-463-4496
Is Sole Proprietor?:No
Enumeration Date:2006-03-01
Last Update Date:2007-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX531722367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered
Provider Identifiers
StateIdentifier IDID TypeIssuer
OK100787320AMedicaid
TX109766904Medicaid
031131OtherRE-CERT #
TX83843UOtherBCBS PROV #
TX80522HMedicare PIN
OK100787320AMedicaid