Individual
MRS. LISA A BURNITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ANP
Contact information
Practice address
3023 N BALLAS RD STE 500, SAINT LOUIS, MO 63131-2359
(314) 996-7930
Mailing address
3023 N BALLAS RD STE 500, SAINT LOUIS, MO 63131-2359
(314) 996-7930
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
100104
MO
Other
Enumeration date
02/02/2012
Last updated
03/09/2021
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