Individual
LISA G BURKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
300 CORPORATE CENTER DRIVE, THIRD FLOOR, SCOTT DEPOT, WV 25560
(304) 691-1800
(304) 691-6736
Mailing address
1600 MEDICAL CENTER DR, SUITE 4500, HUNTINGTON, WV 25701-3656
(304) 691-1460
(304) 691-1453
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
19438
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0093860000
—
WV
05
—
2076426
—
OH
05
—
64942501
—
KY
Enumeration date
03/20/2006
Last updated
01/23/2022
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