Individual
LYNN BERGMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
5633 N LIDGERWOOD, EMERGENCY PHYSICIANS SERVICES, SPOKANE, WA 99208
(509) 482-2448
(509) 482-2452
Mailing address
5633 N LIDGERWOOD, EMERGENCY PHYSICIANS SERVICES, SPOKANE, WA 99208
(509) 482-2448
(509) 482-2452
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MD00041950
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8463721
—
WA
01
—
G000362000
MEDICARE GROUP
WA
Enumeration date
01/10/2006
Last updated
09/18/2020
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