Provider Demographics
NPI:1811335227
Name:ELI LILLY AND COMPANY EMPLOYEE HEALTH
Entity type:Organization
Organization Name:ELI LILLY AND COMPANY EMPLOYEE HEALTH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SENIOR DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:KRISTINE
Authorized Official - Middle Name:A
Authorized Official - Last Name:COURTNEY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:317-277-2782
Mailing Address - Street 1:893 S DELAWARE ST
Mailing Address - Street 2:LILLY CORPORATE CENTER
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46225-1782
Mailing Address - Country:US
Mailing Address - Phone:317-276-2272
Mailing Address - Fax:317-276-1733
Practice Address - Street 1:893 S DELAWARE ST
Practice Address - Street 2:LILLY CORPORATE CENTER
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46225-1782
Practice Address - Country:US
Practice Address - Phone:317-276-2272
Practice Address - Fax:317-276-1733
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-06-07
Last Update Date:2013-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN28092213A261QX0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QX0100XAmbulatory Health Care FacilitiesClinic/CenterOccupational Medicine