Provider Demographics
NPI:1861588642
Name:METZ, LOUISE DYSART (MD)
Entity type:Individual
Prefix:DR
First Name:LOUISE
Middle Name:DYSART
Last Name:METZ
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:1240 ENVIRON WAY
Mailing Address - Street 2:
Mailing Address - City:CHAPEL HILL
Mailing Address - State:NC
Mailing Address - Zip Code:27517-4426
Mailing Address - Country:US
Mailing Address - Phone:919-240-7269
Mailing Address - Fax:919-240-7816
Practice Address - Street 1:1240 ENVIRON WAY
Practice Address - Street 2:
Practice Address - City:CHAPEL HILL
Practice Address - State:NC
Practice Address - Zip Code:27517-4426
Practice Address - Country:US
Practice Address - Phone:919-240-7269
Practice Address - Fax:919-240-7816
Is Sole Proprietor?:No
Enumeration Date:2006-10-05
Last Update Date:2017-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2008-01086207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYH79118Medicare UPIN