Provider Demographics
NPI:1508039736
Name:PINGOL-BERNARDINO, LOURDES G (MD)
Entity type:Individual
Prefix:DR
First Name:LOURDES
Middle Name:G
Last Name:PINGOL-BERNARDINO
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:LOURDES
Other - Middle Name:GALAS
Other - Last Name:PINGOL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:1371 BEACON ST STE 301
Mailing Address - Street 2:
Mailing Address - City:BROOKLINE
Mailing Address - State:MA
Mailing Address - Zip Code:02446-4965
Mailing Address - Country:US
Mailing Address - Phone:480-569-2900
Mailing Address - Fax:
Practice Address - Street 1:1371 BEACON ST STE 301
Practice Address - Street 2:
Practice Address - City:BROOKLINE
Practice Address - State:MA
Practice Address - Zip Code:02446-4965
Practice Address - Country:US
Practice Address - Phone:480-569-2900
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-04-09
Last Update Date:2025-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY244786-1207ZP0007X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0007XAllopathic & Osteopathic PhysiciansPathologyMolecular Genetic Pathology