Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208200000X | Surgeon | MD2018-0115 | NM |
Y | 208600000X | Surgeon | MD2018-0115 | NM |
N | 208200000X | Surgeon | N9278 | TX |
N | 208600000X | Surgeon | N9278 | TX |
N | 2086S0120X | Pediatric Surgery | N9278 | TX |
NPI | 1407995400 |
---|---|
Provider Name | Lena Perger |
First Address | Dallas, TX 75284-7408 |
Second Address | Albuquerque, NM 87106-2719 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/02/2007 |
Last Update Date | 29/03/2018 |