Individual
LAUREN BERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4656 40TH AVE S, FARGO, ND 58104-4397
(701) 234-8860
Mailing address
PO BOX 5074, SIOUX FALLS, SD 57117-5074
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
01/25/2022
Last updated
05/01/2023
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