Burdge, Lisa C

Burdge, Lisa C is an individual health care provider with primary practice located at 1031 Morganton Blvd Sw , Lenoir NC 28645-5677. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Burdge, Lisa C can be contacted via phone (828) 757-6226.

Contact Information

Primary practice address
1031 Morganton Blvd Sw Lenoir NC 28645-5677
Phone: (828) 757-6226
Fax: (828) 757-6289
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 3123 North Carolina

Profile Details

NPI number 1669477733
LBN Legal business name Burdge, Lisa C
Credentials MA, CCC-SLP
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 16th, 2005
Last updated Sep 13th, 2016 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1669477733 NPPES
North Carolina MEDICAID 7419914
North Carolina Other 19914

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