Individual
MS. LAURIE POWELL BURKE
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
R.N., N.P., C.S.
Contact information
Practice address
13506 EAST BOUNDARY ROAD, SUITE A, MIDLOTHIAN, VA 23112-3989
(804) 744-6714
(804) 744-1265
Mailing address
13506 EAST BOUNDARY ROAD, SUITE A, MIDLOTHIAN, VA 23112-3989
(804) 744-6714
(804) 744-1265
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
0024166500
VA
Other
Enumeration date
10/03/2005
Last updated
07/08/2007
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