Individual
LOIS A BURNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
301 GORDON GUTMANN BLVD, SUITE 101, JEFFERSONVILLE, IN 47130-3764
(812) 294-1302
Mailing address
1014 EQUESTRIAN DR, SELLERSBURG, IN 47172-9491
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
71001391A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200487270
—
IN
Enumeration date
05/25/2006
Last updated
09/11/2015
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