Individual
DR. GERMAINE NOEL BURKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
441 S HAM LN, SUITE B, LODI, CA 95242-3525
(209) 224-5454
(209) 224-8791
Mailing address
441 S. HAM LANE, SUITE B, LODI, CA 95242
(209) 224-5454
(209) 224-8791
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
9259T
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
SD0092590
—
CA
Enumeration date
10/26/2006
Last updated
01/06/2023
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