Provider Demographics
NPI:1023396066
Name:TRZEPACZ, PAULA TERESE (MD)
Entity Type:Individual
Prefix:DR
First Name:PAULA
Middle Name:TERESE
Last Name:TRZEPACZ
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:LILLY RESEARCH LABORATORIES
Mailing Address - Street 2:LILLY CORPORATE CENTER
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:42685-0001
Mailing Address - Country:US
Mailing Address - Phone:317-433-5391
Mailing Address - Fax:
Practice Address - Street 1:LILLY RESEARCH LABORATORIES
Practice Address - Street 2:LILLY CORPORATE CENTER
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46285-0001
Practice Address - Country:US
Practice Address - Phone:317-433-5391
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-07-25
Last Update Date:2011-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN01055542A2084P0015X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0015XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychosomatic Medicine