Lisa A Bergeron, M.D. Valid NPI
Individual provider · Pediatrics Physician · Fort Wayne, IN
- NPI
- 1801890355
- Type
- Individual (Type 1)
- Primary specialty
- Pediatrics Physician (Pediatrics)
- Specialty group
- Allopathic & Osteopathic Physicians
- Taxonomy code
- 208000000X
- License number
- 01043876A (IN)
- Sex
- Female
- Sole proprietor
- No
- Enumerated
- 2005-06-10
- Last updated
- 2022-12-20
Practice location
11115 Parkview Plaza Dr
Fort Wayne, IN 46845-1701
(260) 266-5400