Lisa Burbage
Lisa Burbage is a Health Maintenance Organization in Charleston, South Carolina. Practices as a sole proprietor. Licensed in South Carolina.
- Licensed in
- SC
- In the registry since
- 2018
Practice location Address checks out
14 Lockwood Dr Apt 12GCharleston, SC 29401-1138
Phone: (843) 442-8909
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Health Maintenance Organization (primary) | Taxonomy 302R00000X (SC) |
|---|
Record details
| NPI number | 1174021265 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | January 24, 2018 |
| Last updated in NPPES | January 24, 2018 |
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