Search › Missouri › 207V00000X
Lyda Pung, D.O
NPI 1518385046 · on the registry since 2014 · sole proprietor
Practice
- Address
- 19550 E. 39th St
Ste 300
Independence, MO 64057 - Phone
- (816) 478-0220
- Fax
- (816) 795-3456
- Organisation at this address
- Surgery Center Of Independence Lp
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 13
Registry record
- Primary taxonomy
- 207V00000X
207V00000X
- Also registered as
- 390200000X
- Licence states on file
- MO
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2018-10-23
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Missouri