MARY P. BEDARD-LUSIS MD – NPI #1104863695
Pediatrics

A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies.

MARY BEDARD-LUSIS is a physician located in DETROIT, MI. NPPES has assigned the NPI number 1104863695 to MARY BEDARD-LUSIS on June 01, 2006. It is a Type-1 NPI, indicating this NPI number is associated with an individual. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 2080N0001X from the Health Care Provider Taxonomy code set, which is classified as Pediatrics, specializing in Neonatal-Perinatal Medicine

The NPI profile was previously updated about 16 years ago on Jul 08, 2010. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for MARY BEDARD-LUSIS below.

NPI Profile for
MARY P. BEDARD-LUSIS

NPI Number
1104863695
Enumeration Date

(more than 20 years ago)
Entity Type
Type-1  Individual (Female)
Legal Name
MARY P. BEDARD-LUSIS
Credentials
MD
Primary location
CHILDRENS HOSPITAL MI NEONATOLOGY
3901 BEAUBIEN 2ND FLOOR - MAIN BUILDING
DETROIT, MI 48201
Phone: (313) 745-1436 Fax:
Mailing address
4201 ST. ANTOINE UHC 6F MAILBOX# 226
UNIVERSITY PEDIATRICIANS
DETROIT, MI 48201-2061
Phone: (313) 966-5051 Fax: (313) 966-6618
Sole Proprietor
No
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
2080N0001X
- Pediatrics / Neonatal-Perinatal Medicine (Primary)
MI 4301039853
208000000X
- Pediatrics
MI 4301039853

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.