Individual
LAVONNE A BERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1551 N. OAKLAND, BOLIVAR, MO 65613
(417) 328-6738
(417) 328-6776
Mailing address
1500 N OAKLAND AVE, BOLIVAR, MO 65613-3011
(417) 328-6738
(417) 328-6776
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
MD114202
MO
Other
Enumeration date
09/13/2006
Last updated
01/17/2011
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