Lisa A Debernardi in Saint Louis - Primary Podiatric Medicine

Lisa A Debernardi - NPI 1043219215

Lisa A Debernardi is a Primary Podiatric Medicine in Saint Louis, Missouri. Lisa A Debernardi practices all healthcare services and medical treatments related to Primary Podiatric Medicine. The NPI Number for Lisa A Debernardi is 1043219215. The last update date is 2015-09-23.

Lisa A Debernardi's current location address is 2530 Schnell Dr, Saint Louis, Missouri. You can contact this provider via phone number 3148213668 and fax number 8889660079. The mailing address for Lisa A Debernardi is 2530 Schnell Dr, Saint Louis, Missouri. To know further, please read the information below!

Provider Profile Detail

Provider Name Lisa A Debernardi
Address 2530 Schnell Dr, Saint Louis, Missouri
Phone Number 3148213668
Fax Number 8889660079
Sole Proprietor Y
Credentials DPM

NPI Number Detail

NPI Number 1043219215
Provider Enumeration Date 2005-07-19
Last Updated Date 2015-09-23

Provider Mailing Address Detail

Address 2530 Schnell Dr
City Saint Louis
State Missouri (MO)
Post Code 631294931
Phone Number 3148213668
Fax Number 8889660079

Provider's Primary Taxonomy Detail

Speciality Primary Podiatric Medicine
Taxonomy 213Ep1101X
Licence No 2008030512
Definition:
A doctor of podiatric medicine expert in general podiatry health services related to medical diagnoses and treatment of the foot, ankle and lower extremities.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
1622982 IL BLUE CROSS / BLUE SHIELD
480014516 IL RAILROAD MEDICARE
16004789 IL --
1043219215 MO --
P01302982 MO RAILROAD MEDICARE

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FAQs about Lisa A Debernardi

What is the unique identification code assigned to Lisa A Debernardi by the Centers for Medicare & Medicaid Services?

The Lisa A Debernardi has been issued the NPI (National Provider Identifier) 1043219215. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please provide the complete physical location address of Lisa A Debernardi?

The Lisa A Debernardi is physically situated at 2530 Schnell Dr, in the city of Saint Louis, state of MO, with the postal code 631294931.

What is Lisa A Debernardi's area of expertise and its corresponding taxonomy classification?

The Lisa A Debernardi's field of specialization is Primary Podiatric Medicine, and it falls under the taxonomy code 213Ep1101X, which categorizes healthcare providers based on their areas of practice.

When was the Lisa A Debernardi's 1043219215 issued?

The Lisa A Debernardi's 1043219215 was issued on 2005-07-19.

As of what date was the information pertaining to Lisa A Debernardi, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Lisa A Debernardi, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2015-09-23.

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