Individual
ERICA S. BURTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
808 GULF ST, LAMAR, MO 64759-1239
(417) 682-3301
(417) 682-2409
Mailing address
808 GULF ST, LAMAR, MO 64759-1239
(417) 682-3301
(417) 682-2409
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
T03295
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
118961
BC/BS
MO
05
—
318614609
—
MO
Enumeration date
06/20/2005
Last updated
01/18/2011
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