Individual
SUZANNE M BURKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
7847 YOUREE DR, SHREVEPORT, LA 71105-5505
(318) 212-3930
(318) 212-3935
Mailing address
1202 LOUISIANA AVE, SHREVEPORT, LA 71101-3910
(318) 212-8951
(318) 212-6752
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA200242
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1356239
—
LA
Enumeration date
12/05/2008
Last updated
06/21/2021
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