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Individual

LAURA M BURKE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNA

Contact information

Practice address
3480 YORKSHIRE MEDICAL PARK, LEXINGTON, KY 40509-1886
(859) 514-0259
Mailing address
425 LEWIS HARGETT CIR, LEXINGTON, KY 40503-3590
(859) 268-1030
(859) 269-4120

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
1058857
KY
367500000X
Certified Registered Nurse Anesthetist
Primary
3007310
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
7100191710
KY
Enumeration date
12/01/2011
Last updated
02/13/2016
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