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NPI 1417178369 · live from the CMS NPI Registry

Lisa Marie Berglund, MD

Orthopaedic Surgery, Pediatric Orthopaedic Surgery in Kansas City, MO. National Provider Identifier 1417178369, active.

NPI record

NPI1417178369 Type 1 · individual
StatusActive
Primary specialtyOrthopaedic Surgery, Pediatric Orthopaedic Surgery 207XP3100X
Practice location2401 Gillham Rd, Room 2501.12 Division Of Orthopaedic Surgery, Kansas City, MO 64108
Practice phone816-234-3693
EnumeratedMay 1, 2007
Last updatedSeptember 15, 2011
Sole proprietorNo

Taxonomies and licenses

TaxonomyCodeLicense
Orthopaedic Surgery, Pediatric Orthopaedic Surgery primary207XP3100X2010004019 (MO)

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.