Lisa Burks

NPI #1699153775 in Charleston, South Carolina

Provider Information

NPI Number: 1699153775
Entity Type: Individual
Name: Lisa Burks
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Prosthetist
Enumeration Date: May 11, 2015
Last Updated: May 11, 2015

Practice Location

Address: 4026 ASHLEY PHOSPHATE RD
City: Charleston
State: South Carolina
ZIP Code: 29418-8547
Phone: (843) 730-0186

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Prosthetist	224P00000X	Primary

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