DR. Lawrence Russell Bergman, M.D.

NPI #1073518130 in Wellington, Florida

Provider Information

NPI Number
1073518130
Entity Type
Individual
Name
DR. Lawrence Russell Bergman, M.D.
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Pediatrics - Adolescent Medicine
Credential
M.D.
Enumeration Date
Jun 16, 2005
Last Updated
Sep 21, 2011

Practice Location

Address
10115 W FOREST HILL BLVD
Address 2
STE 303
State
Florida
ZIP Code
33414-3102
Phone
(561) 798-5565

Specialties & Taxonomy Codes

Specialty
Pediatrics - Adolescent MedicineAdolescent Medicine

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