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Individual

DR. LISA R BURKETT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DDS MS

Contact information

Practice address
6818 AUSTIN CENTER BLVD, STE 203, AUSTIN, TX 78731
(512) 458-1162
(512) 458-1747
Mailing address
6818 AUSTIN CENTER BLVD, STE 203, AUSTIN, TX 78731
(512) 458-1162
(512) 458-1747

Taxonomy

Speciality
Code
Description
License number
State
1223P0700X
Prosthodontics
Primary
17061
TX

Other

Enumeration date
09/07/2006
Last updated
07/08/2007
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