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Individual

LUCIA GOODWIN BURGESS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
1942 E 7TH ST STE 200, CHARLOTTE, NC 28204-2557
(704) 384-7085
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
2021036601
MO
207R00000X
Internal Medicine Physician
Primary
2025-02712
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2021036601
STATE LICENSE NUMBER
MO
Enumeration date
06/19/2019
Last updated
09/30/2025
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