Provider Demographics
NPI:1578622379
Name:MEALS, LEE TOLAR (MD)
Entity Type:Individual
Prefix:DR
First Name:LEE
Middle Name:TOLAR
Last Name:MEALS
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 1:150 BRETT CHASE
Mailing Address - Street 2:SUITE B
Mailing Address - City:PADUCAH
Mailing Address - State:KY
Mailing Address - Zip Code:42003-5706
Mailing Address - Country:US
Mailing Address - Phone:270-554-4820
Mailing Address - Fax:270-448-0300
Practice Address - Street 1:150 BRETT CHASE STE B
Practice Address - Street 2:
Practice Address - City:PADUCAH
Practice Address - State:KY
Practice Address - Zip Code:42003-5706
Practice Address - Country:US
Practice Address - Phone:270-554-4820
Practice Address - Fax:270-448-0300
Is Sole Proprietor?:No
Enumeration Date:2006-12-07
Last Update Date:2023-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY32213207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
000000916432OtherANTHEM BLUE CROSS BLUE SHIELD
KYK150150Medicare PIN
000000916432OtherANTHEM BLUE CROSS BLUE SHIELD