Individual
LISA BURKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4026 ASHLEY PHOSPHATE RD, CHARLESTON, SC 29418-8547
(843) 730-0186
Mailing address
6520 DORCHESTER RD APT 400G, NORTH CHARLESTON, SC 29418-5140
(843) 730-0186
Taxonomy
Speciality
Code
Description
License number
State
224P00000X
Prosthetist
Primary
IRC. 35076
SC
Other
Enumeration date
05/11/2015
Last updated
05/11/2015
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