Individual
LISA K. BURKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
9550 ROCKY RIVER RD STE 150, CHARLOTTE, NC 28215-9592
(704) 316-5281
(704) 316-5283
Mailing address
PO BOX 60099, CHARLOTTE, NC 28260-0099
(704) 543-6636
(704) 541-9476
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
035452
GA
207P00000X
Emergency Medicine Physician
Primary
39733
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1689762809
—
NC
05
—
5910484
—
NC
05
—
NC2533
—
SC
Enumeration date
10/11/2006
Last updated
08/12/2021
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