Individual
DR. LAURA BURKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
2021 LYNNHAVEN PKWY, SUITE A, VIRGINIA BEACH, VA 23456-1410
(757) 471-4040
(757) 471-4077
Mailing address
2021 LYNNHAVEN PKWY, SUITE A, VIRGINIA BEACH, VA 23456-1410
(757) 471-4040
(757) 471-4077
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
0618001134
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010275792
—
VA
01
—
295922
MAMSI
VA
01
—
345981
BLUE CROSS BLUE SHIELD
VA
01
—
54-2058185
TAX ID
VA
Enumeration date
12/07/2006
Last updated
06/11/2008
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