Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. LISA A DEBERNARDI, DPM
Active Sole ProprietorDR. LISA A DEBERNARDI, DPM is a Radiology Podiatrist healthcare provider located in SAINT LOUIS, Missouri. NPI 1043219215 is currently active in the NPPES registry. Verify at CMS.
Radiology Podiatrist · SAINT LOUIS, MO
Registration Details
- NPI Number
- 1043219215
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jul 19, 2005 (20.88881076473 yrs)
- Last Updated
- Dec 21, 2023
- Licenses
-
016004789 (IL)2008030512 (MO)
- Sole Proprietor
- Yes
Practice Information
- Address
-
5108 HAMPTON AVESAINT LOUIS, MO, 631093113Browse MO providers · Browse ZIP 63109
- Phone
- 3148213668
- Fax
- 8889660079
- Primary Specialty
-
Radiology Podiatrist
213EP1101X
- Additional Specialty
- Radiology Podiatrist
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.