Bonnie Gail Lemberg, M.D.

Individual provider Active NPI Diagnostic Radiology Physician · Hardy, VA

NPI 1104976000 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1104976000
Entity type
Individual (NPI type 1)
Primary specialty
Diagnostic Radiology Physician 2085R0202X
License
153299 (NY)
Practice address
1240 Commonwealth Dr
Hardy, VA 24101-3785
Phone
(540) 598-6440
Fax
(540) 890-0709
NPI assigned
Jan 11, 2007
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
153299NYMDDiagnostic Radiology Physician

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 153299 NY Yes

Addresses

Primary practice location

1240 Commonwealth Dr
Hardy, VA 24101-3785

Mailing address

1240 Commonwealth Dr
Hardy, VA 24101-3785
Phone (540) 598-6440

Other providers in Hardy, VA

All providers in Hardy, VA · Diagnostic Radiology Physician in Virginia

Sources for this page

Verify at the official NPI Registry.