MARY PATRICIA BEDARD-LUSIS MD
NPI 1104863695
Pediatrics - Neonatal-Perinatal Medicine in Detroit, MI

Q: What is Mary Bedard-lusis's NPI number?

The NPI number for Mary Bedard-lusis is 1104863695. It was assigned to this individual provider in the NPPES registry on June 1, 2006.

Q: What is Mary Bedard-lusis's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Neonatal-Perinatal Medicine, with taxonomy code 2080N0001X.

Q: When was this NPI record last updated?

The NPPES record for Mary Bedard-lusis was last updated on July 8, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since June 01, 2006

CHILDRENS HOSPITAL MI NEONATOLOGY, 3901 BEAUBIEN 2ND FLOOR - MAIN BUILDING, DETROIT, MI 48201(313) 745-1436 Get Directions Write a Review

NPPES record last updated: July 8, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Mary Patricia Bedard-lusis Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARY PATRICIA BEDARD-LUSIS MD (NPI 1104863695) is an individual neonatal-perinatal medicine provider in Detroit, Michigan, licensed in Michigan (4301039853) and active in the NPI registry since June 2006.

NPPES Registry Identity

NPI1104863695

Entity TypeIndividualFemale

Primary Taxonomy2080N0001X

Provider Legal NameMARY PATRICIA BEDARD-LUSISCredential: MD

Location AddressCHILDRENS HOSPITAL MI NEONATOLOGY, 3901 BEAUBIEN 2ND FLOOR - MAIN BUILDINGDetroit, MI 48201

Mailing Address4201 St. Antoine Uhc 6f Mailbox# 226, University PediatriciansDetroit, MI 48201-2061 · (313) 966-5051 · Fax (313) 966-6618

Phone(313) 745-1436

Sole ProprietorNo

Enumeration DateJune 1, 2006

Last NPPES UpdateJuly 8, 2010

✔ NPI 1104863695 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Neonatal-Perinatal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code2080N0001X

License✔ Licensed in MI · 4301039853

Definition

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.

Also ListedPediatricsTaxonomy 208000000X · License 4301039853 (MI)

CHILDRENS HOSPITAL MI NEONATOLOGY, Detroit, MI 48201

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Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

S NADYA JAATOUL-KAZZI MD MPH

Pediatrics