Lisa A Bergeron, M.D.

NPI #1801890355 in Fort Wayne, Indiana

Provider Information

NPI Number: 1801890355
Entity Type: Individual
Name: Lisa A Bergeron, M.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pediatrics
Credential: M.D.
Enumeration Date: Jun 10, 2005
Last Updated: Dec 20, 2022

Practice Location

Address: 11115 PARKVIEW PLAZA DR
City: Fort Wayne
State: Indiana
ZIP Code: 46845-1701
Phone: (260) 266-5400

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X	Primary

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