Individual
MRS. LISA BURNS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSPT
Contact information
Practice address
2338 N US HIGHWAY 35, LAPORTE, IN 46350-8380
(219) 325-0060
(219) 325-9919
Mailing address
2338 N US HIGHWAY 35, LAPORTE, IN 46350-8380
(219) 325-0060
(219) 325-9919
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
05007288A
IN
Other
Enumeration date
06/22/2006
Last updated
07/08/2007
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