Individual
VICKI LYNN BURTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
1807 SMITH ST, LOGANSPORT, IN 46947-1576
(574) 732-1414
(574) 732-0504
Mailing address
1807 SMITH ST, LOGANSPORT, IN 46947-1576
(574) 732-1414
(574) 732-0504
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
27062450A
IN
Other
Enumeration date
06/21/2010
Last updated
06/21/2010
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