NPI 1487306981 · live from the CMS NPI Registry
Lauren Berg
Physician Assistant in Fargo, ND. National Provider Identifier 1487306981, active.
NPI record
| NPI | 1487306981 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Physician Assistant 363A00000X |
| Practice location | 4656 40th Ave S, Fargo, ND 58104 |
| Practice phone | 701-234-8860 |
| Mailing address | Po Box 5074, Sioux Falls, SD 57117 |
| Enumerated | January 25, 2022 |
| Last updated | May 1, 2023 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physician Assistant primary | 363A00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.