Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mrs. Lyda D Pung, DO

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1518385046

Mrs. Lyda D Pung, DO is an Obstetrics/Gynecology in Independence, Missouri. Qualified in 2014, 12 years ago. Practices with Independence Womens Clinic PC, an 8-clinician group and accepts Medicare assignment. Licensed in Missouri.

Years since qualifying
12
Licensed in
MO
In the registry since
2014
Specialties on file
2
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

19550 E 39th St Ste 300
Independence, MO 64057
Phone: (816) 478-0220
Fax: (816) 795-3456
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Obstetrics & Gynecology Physician (primary) Taxonomy 207V00000X · Licence 2016030785 (MO)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1518385046
Entity typeIndividual (Type 1)
GenderFemale
Credentials DO
Sole proprietorYes
NPI enumeratedApril 1, 2014
Last updated in NPPESOctober 23, 2018
Mailing address12639 Old Tesson Rd, Ste 100, St. Louis, MO 63128

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOBSTETRICS/GYNECOLOGY
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Independence Womens Clinic Pc — 8 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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