Individual
LISA C BURY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
535 S BURDICK ST STE 160, KALAMAZOO, MI 49007-6113
(269) 388-5864
(269) 388-5221
Mailing address
535 S BURDICK ST STE 160, KALAMAZOO, MI 49007-6113
(269) 388-5864
(269) 388-5221
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4704241397
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00909189
RAILROAD MEDICARE
—
Enumeration date
11/19/2008
Last updated
07/21/2022
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