Provider Demographics
NPI:1235157991
Name:EILER, LYNN EUGENE (MD)
Entity Type:Individual
Prefix:
First Name:LYNN
Middle Name:EUGENE
Last Name:EILER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:98 ELM ST
Mailing Address - Street 2:SUITE 400
Mailing Address - City:LAWRENCEBURG
Mailing Address - State:IN
Mailing Address - Zip Code:47025-1806
Mailing Address - Country:US
Mailing Address - Phone:812-537-4999
Mailing Address - Fax:812-537-5710
Practice Address - Street 1:98 ELM ST
Practice Address - Street 2:SUITE 400
Practice Address - City:LAWRENCEBURG
Practice Address - State:IN
Practice Address - Zip Code:47025-1806
Practice Address - Country:US
Practice Address - Phone:812-537-4999
Practice Address - Fax:812-537-5710
Is Sole Proprietor?:No
Enumeration Date:2006-07-18
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN01029342207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN000000074848OtherANTHEM PROVIDER #
IN100351510AMedicaid
IN172420FMedicare PIN
A83457Medicare UPIN