Individual
LISA BURSCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
7777 MILLIKEN AVE STE 360, RANCHO CUCAMONGA, CA 91730-6782
(909) 944-7099
Mailing address
41162 MESA ROBLES CIR, TEMECULA, CA 92592-9326
(951) 313-7976
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
472262
CA
Other
Enumeration date
08/04/2014
Last updated
01/10/2019
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