Lisa Burcham

NPI #1801346341 in Kentwood, Michigan

Provider Information

NPI Number: 1801346341
Entity Type: Individual
Name: Lisa Burcham
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Technician, Other
Enumeration Date: Oct 8, 2016
Last Updated: Oct 8, 2016

Practice Location

Address: 5528 MICK AVE SE
City: Kentwood
State: Michigan
ZIP Code: 49548-5857
Phone: (616) 427-7935

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Technician, Other	247200000X	Primary

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