Individual
LISA MARIE BURLINGAME
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
118 VILLAGE ST STE A, SLIDELL, LA 70458-5302
(985) 781-4444
Mailing address
118 VILLAGE ST STE A, SLIDELL, LA 70458-5302
(985) 781-4444
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
LA
Other
Enumeration date
12/05/2025
Last updated
12/05/2025
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