Individual
LISBETH K BERGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3801 UNIVERSITY WAY DR., SUITE 301, ANCHORAGE, AK 99508
(907) 777-1850
(907) 777-1800
Mailing address
3801 UNIVERSITY LAKE DR STE 301, ANCHORAGE, AK 99508-4658
(907) 777-1850
(855) 468-1357
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
3927
AK
208D00000X
General Practice Physician
Primary
3927
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
152556
MCARE
AK
01
—
3927
AK STATE MEDICAL LICENSE
AK
05
—
MD03282
—
AK
Enumeration date
03/09/2006
Last updated
10/09/2019
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