Individual
MRS. LISA M BURTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
350 PARK ST STE 206, BOWLING GREEN, KY 42101-1784
(270) 746-0440
Mailing address
214 BRANDYWOOD CT, BOWLING GREEN, KY 42101-3911
(270) 842-0441
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
6135P
KY
Other
Enumeration date
08/04/2010
Last updated
08/04/2010
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