Individual provider · Type 1 NPI
Lisa A. Debernardi, DPM
Primary Podiatric Medicine Podiatrist · St. Louis, MO
NPI number
1043219215
Active
Practice location
5108 Hampton Ave
St. Louis, MO 63109-3113
Fax (888) 966-0079
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Podiatrist | 213E00000X | 016004789 (IL) |
| Primary Podiatric Medicine Podiatrist Primary | 213EP1101X | 2008030512 (MO) |
Primary Podiatric Medicine Podiatrist: Definition to come...
Another provider at this address
About NPI 1043219215
Lisa A. Debernardi, DPM's National Provider Identifier is 1043219215, issued on Jul 19, 2005. The primary taxonomy on file is Primary Podiatric Medicine Podiatrist (213EP1101X), and the practice location is in St. Louis, MO. The record was last updated on Dec 21, 2023.