Dr. Lisa A Debernardi
Podiatrist Primary Podiatric Medicine
5108 Hampton Ave
Saint Louis
, Missouri 63109-3113
Dr. Lisa A Debernardi
Podiatrist Primary Podiatric Medicine
5108 Hampton Ave
Saint Louis
, Missouri 63109-3113
(888) 966-0079
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About
Features
Specialties
- Podiatrist
- Primary Podiatric Medicine
Languages spoken
- English
Location
First Address
- Dr. Lisa A Debernardi
- 2530 Schnell Dr
- Saint Louis, MO
- Zip : 63129-4931
- Fax : (888) 966-0079
- Phone : (314) 821-3668
Second Address
- Dr. Lisa A Debernardi
- 5108 Hampton Ave
- Saint Louis, MO
- Zip : 63109-3113
- Fax : (888) 966-0079
- Phone : (314) 821-3668
Reviews
FAQs
Where did Dr. Lisa A Debernardi attend graduate school?
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Where did Dr. Lisa A Debernardi do her fellowship?
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What is Dr. Lisa A Debernardi ’s gender?
Is Dr. Lisa A Debernardi a sole practitioner?
Is Dr. Lisa A Debernardi accepting new patients?
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Does Dr. Lisa A Debernardi have any license restrictions?
Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 213E00000X | Podiatrist | 016004789 | IL |
| N | 222Z00000X | Podiatrist | 016004789 | IL |
| Y | 213EP1101X | Primary Podiatric Medicine | 2008030512 | MO |
National Provider Identifier
| NPI | 1043219215 |
|---|---|
| Provider Name | Dr. Lisa A Debernardi |
| First Address | Saint Louis, MO 63129-4931 |
| Second Address | Saint Louis, MO 63109-3113 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 19/07/2005 |
| Last Update Date | 23/09/2015 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 016004789 | (05) | IL |
| 1043219215 | (05) | MO |
| 1622982 | BLUE CROSS / BLUE SHIELD (01) | IL |
| 480014516 | RAILROAD MEDICARE (01) | IL |
| P01302982 | RAILROAD MEDICARE (01) | MO |
| U61939 | (02) | IL |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.