Individual
SAMUEL LUCAS BURLESON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
619 19TH ST S, BIRMINGHAM, AL 35249
(205) 934-4011
Mailing address
619 19TH ST S, BIRMINGHAM, AL 35249-1900
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
34483
AL
Other
Enumeration date
05/13/2014
Last updated
06/29/2023
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