Provider Demographics
NPI:1467565218
Name:LEMKE, MERIT D (MD)
Entity Type:Individual
Prefix:
First Name:MERIT
Middle Name:D
Last Name:LEMKE
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 1:9301 CONNECTICUT DR
Mailing Address - Street 2:
Mailing Address - City:CROWN POINT
Mailing Address - State:IN
Mailing Address - Zip Code:46307-7486
Mailing Address - Country:US
Mailing Address - Phone:219-796-4060
Mailing Address - Fax:219-756-8007
Practice Address - Street 1:9301 CONNECTICUT DR
Practice Address - Street 2:
Practice Address - City:CROWN POINT
Practice Address - State:IN
Practice Address - Zip Code:46307-7486
Practice Address - Country:US
Practice Address - Phone:219-796-4060
Practice Address - Fax:219-756-8007
Is Sole Proprietor?:No
Enumeration Date:2006-08-16
Last Update Date:2022-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN01045007A207VG0400X, 207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
No207VG0400XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN000000248497OtherANTHEM BC/BS
IN200110460AMedicaid
IN052090HMedicare ID - Type Unspecified