Individual
LUCY BURCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
2601 VILLAGE PROFESSIONAL DR N, OPELIKA, AL 36801-4784
(334) 528-5400
Mailing address
2601 VILLAGE PROFESSIONAL DR N, OPELIKA, AL 36801-4784
(334) 528-5400
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
1-152441
AL
363L00000X
Nurse Practitioner
1-152441
AL
363LP2300X
Primary Care Nurse Practitioner
Primary
1-152441
AL
Other
Enumeration date
03/31/2019
Last updated
09/28/2021
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