Lisa A Debernardi DPM

NPI 1043219215 - Podiatrist - 213E00000X

NPI Details
NPI 1043219215
Gender Female
Enumeration Date 07/19/2005
Last Updated 09/23/2015
Entity Type Individual
Active Over 11 years ago
Practice Location
5108 HAMPTON AVE
SAINT LOUIS MO, 63109-3113, US
Phone (314) 821-3668
Fax (888) 966-0079
Business Location
2530 SCHNELL DR
SAINT LOUIS MO, 63129-4931, US
Phone (314) 821-3668
Fax (888) 966-0079
Toxanomy
Taxonomy Code 213E00000X
License State Illinois
License Number 016004789
Remove 1043219215 NPI Number
 

According to our database, Dr. Lisa A Debernardi DPM NPI is 1043219215, taxonomy code is 213E00000X and license number is 016004789, license state is located at Illinois. Lisa A Debernardi DPM physically located at 5108 Hampton Ave, Saint Louis MO, 63109-3113. NPI Number Lisa A Debernardi DPM has the Individual type.

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1043219215 NPI number is provided on an as is basis without warranty of any kind. 1043219215 is maintained by the National Plan & Provider Enumeration System. The contents of Lisa A Debernardi DPM are for informational purposes only.