Lisa A Bergeron is a Pediatrics in Fort Wayne, Indiana. Lisa A Bergeron practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Lisa A Bergeron is 1801890355. The last update date is 2022-12-20.
Lisa A Bergeron's current location address is 11115 Parkview Plaza Dr, Fort Wayne, Indiana. You can contact this provider via phone number 2602665400 and fax number 2602665405. The mailing address for Lisa A Bergeron is 11115 Parkview Plaza Dr, Fort Wayne, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Lisa A Bergeron |
|---|---|
| Address | 11115 Parkview Plaza Dr, Fort Wayne, Indiana |
| Phone Number | 2602665400 |
| Fax Number | 2602665405 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1801890355 |
|---|---|
| Provider Enumeration Date | 2005-06-10 |
| Last Updated Date | 2022-12-20 |
Provider Mailing Address Detail
| Address | 11115 Parkview Plaza Dr |
|---|---|
| City | Fort Wayne |
| State | Indiana (IN) |
| Post Code | 4684517010 |
| Phone Number | 2602665400 |
| Fax Number | 2602665405 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatrics |
|---|---|
| Taxonomy | 208000000X |
| Licence No | 35065206 |
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Definition: A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 200037410 | IN | -- | |
| 602350 | IN | ANTHEM |
Post Comment/ Review Below
What is the unique identifier code issued to Lisa A Bergeron by the Centers for Medicare & Medicaid Services (CMS)?
The Lisa A Bergeron has been assigned the NPI (National Provider Identifier) 1801890355. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you kindly provide the complete physical address where Lisa A Bergeron's facilities are geographically located?
The facilities of Lisa A Bergeron are physically situated at the following location: 11115 Parkview Plaza Dr, Fort Wayne, IN, 4684517010.
What is the area of specialization for Lisa A Bergeron, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Lisa A Bergeron is Pediatrics, and the corresponding taxonomy code that categorizes this area of expertise is 208000000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1801890355 to Lisa A Bergeron?
The Centers for Medicare & Medicaid Services assigned the 1801890355 to Lisa A Bergeron on 2005-06-10.
When was the information regarding Lisa A Bergeron most recently updated?
The details pertaining to the Lisa A Bergeron, including its address, specialty, and other relevant information, were last refreshed on 2022-12-20.
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