Lisa A Bergeron, MD
Lisa A Bergeron, MD is a Pediatrics Physician in Fort Wayne, Indiana. Licensed in Indiana and Ohio. Registered with an NPI since 2005.
- Licensed in
- IN, OH
- In the registry since
- 2005
- Specialties on file
- 2
What do these letters mean?
- MD — Doctor of Medicine
- A physician who completed allopathic medical school.
Practice location Address checks out
11115 Parkview Plaza DrFort Wayne, IN 46845-1701
Phone: (260) 266-5400
Fax: (260) 266-5405
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Pediatrics Physician (primary) | Taxonomy 208000000X · Licence 01043876A (IN) |
|---|---|
| Pediatrics Physician | Taxonomy 208000000X · Licence 35065206 (OH) |
Record details
| NPI number | 1801890355 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | MD |
| Sole proprietor | No |
| NPI enumerated | June 10, 2005 |
| Last updated in NPPES | December 20, 2022 |
| Certification date | December 20, 2022 |
| Mailing address | 11109 Parkview Plaza Dr # 117, Fort Wayne, IN 46845-1701 |
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