Provider Demographics
NPI:1104794536
Name:MEIER, LORAN (PEER SPECIALIST)
Entity type:Individual
Prefix:MR
First Name:LORAN
Middle Name:
Last Name:MEIER
Suffix:
Gender:M
Credentials:PEER SPECIALIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19997 EGRET AVE
Mailing Address - Street 2:
Mailing Address - City:TOMAH
Mailing Address - State:WI
Mailing Address - Zip Code:54660-8077
Mailing Address - Country:US
Mailing Address - Phone:608-738-2054
Mailing Address - Fax:
Practice Address - Street 1:111 S COURT ST
Practice Address - Street 2:
Practice Address - City:SPARTA
Practice Address - State:WI
Practice Address - Zip Code:54656-1701
Practice Address - Country:US
Practice Address - Phone:608-487-9450
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-10-27
Last Update Date:2025-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI175T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175T00000XOther Service ProvidersPeer Specialist