| Lisa K Gerdes, MD | |
| 
					508 Tenth Street, Worthington, MN 56187-2343  | |
| (507) 372-2921 | |
| (507) 372-1815 | 
| Full Name | Lisa K Gerdes | 
|---|---|
| Gender | Female | 
| Speciality | Pediatrics | 
| Location | 508 Tenth Street, Worthington, Minnesota | 
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1932293537 | NPI | - | NPPES | 
| 1926113 | Medicaid | IA | |
| 125555 | Other | MN | UCARE | 
| 61A98GE | Other | MN | BCBS MPIN | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 208000000X | Pediatrics | 40273 (Minnesota) | Primary | 
| Mailing Address | Practice Location Address | 
|---|---|
| Lisa K Gerdes, MD 508 Tenth Street, Worthington, MN 56187-2343 Ph: (507) 372-2921  | Lisa K Gerdes, MD 508 Tenth Street, Worthington, MN 56187-2343 Ph: (507) 372-2921  | 
Mark F Ludes, DO Pediatrics Medicare: Medicare Enrolled Practice Location: 1216 Ryans Rd, Worthington, MN 56187 Phone: 507-372-2921 Fax: 507-372-5789  | |
Krzysztof Piotr Dygulski, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1216 Ryans Rd, Worthington, MN 56187 Phone: 507-372-2921 Fax: 507-372-5789  | |
Bassel Bardan, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1216 Ryans Rd, Worthington, MN 56187 Phone: 507-372-2921 Fax: 507-372-5789  |