Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Lisa Jean Burckhartzmeyer, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1962674820

Dr. Lisa Jean Burckhartzmeyer, MD is a Student in an Organized Health Care Education/Training Program in Peoria, Illinois. Licensed in Illinois. Registered with an NPI since 2008.

Licensed in
IL
In the registry since
2008
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

228 NE Jefferson St
Peoria, IL 61602
Phone: (309) 671-8000
Fax: (309) 671-4695
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X · Licence 036129370 (IL)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1962674820
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 31, 2008
Last updated in NPPESFebruary 5, 2016

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