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Mrs. Lyda D Pung, DO
Obstetrics & Gynecology Physician in Independence, Missouri
NPI 1518385046

Lyda D Pung is a Obstetrics & Gynecology Physician based in St. Louis, MO. Lyda D Pung practices in Independence, MO and has the professional credentials of DO. The NPI Number for Lyda D Pung is 1518385046 and holds a License No. (Missouri).

The current practice location address for Lyda D Pung is 19550 E. 39Th St, Independence, MO and can be reached out via phone at 816-478-0220 and via fax at 816-795-3456. You can also correspond with Lyda D Pung through the mailing address at 12639 OLD TESSON RD, ST. LOUIS, MO - 63128 (mailing address contact number: 816-478-0220).

Location: 19550 E. 39Th St, Independence, MO, 63128
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1518385046
Provider Name
Lyda D Pung
Credential
DO
Provider Entity Type
Individual
Gender
Female
Address
19550 E. 39Th St, Independence, MO, 63128
Phone Number
816-478-0220
Fax Number
816-795-3456
Provider Enumeration Date
04/01/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
19550 E. 39Th St
City
Independence
State
Missouri
Zip
64057
Phone Number
816-478-0220
Fax Number
816-795-3456
person
Provider Business Mailing Address Details
Address
12639 Old Tesson Rd
City
St. Louis
State
Missouri
Zip
63128
Phone Number
816-478-0220
Fax Number
816-795-3456
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Obstetrics & Gynecology
Speciality
-
Taxonomy
207V00000X
License No.
2016030785 (Missouri)
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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