Individual
MRS. LORRAINE VICTORIAN-BURKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
2602 MARTIN LUTHER KING JR BLVD, DALLAS, TX 75215-2309
(214) 680-9374
Mailing address
2602 MARTIN LUTHER KING JR BLVD, DALLAS, TX 75215-2309
(214) 680-9374
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
AP126352
TX
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
AP126352
TX
363LP2300X
Primary Care Nurse Practitioner
AP126352
TX
Other
Enumeration date
09/10/2014
Last updated
03/27/2025
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