Individual
LISA BURK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SP
Contact information
Practice address
1498 N BROADWAY ST, GREENVILLE, OH 45331-2454
(937) 548-2317
(937) 548-3055
Mailing address
6649 US ROUTE 36, GREENVILLE, OH 45331-8245
(937) 548-9495
(937) 548-3055
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
10/24/2006
Last updated
05/16/2024
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