Burke, Lisa G

Burke, Lisa G is an individual health care provider with primary practice located at 300 Corporate Center Drive Third Floor, Scott Depot WV 25560. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as her primary health care specialty. Burke, Lisa G can be contacted via phone (304) 691-1800.

Contact Information

Primary practice address
300 Corporate Center Drive Third Floor Scott Depot WV 25560
Phone: (304) 691-1800
Fax: (304) 691-6736
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 19438 West Virginia

Profile Details

NPI number 1659330553
LBN Legal business name Burke, Lisa G
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 20th, 2006
Last updated Jan 23rd, 2022 - about 3 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 1659330553 NPPES
West Virginia MEDICAID 0093860000
West Virginia MEDICAID 2076426
West Virginia MEDICAID 64942501

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