Individual
MS. LORRAINE BURKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, RD
Contact information
Practice address
2975 SYCAMORE DR, (DIETARY DEPARTMENT), SIMI VALLEY, CA 93065-1201
(808) 955-6592
Mailing address
2975 SYCAMORE DR, (DIETARY DEPARTMENT), SIMI VALLEY, CA 93065-1201
(808) 955-6592
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
839165
CA
Other
Enumeration date
07/02/2015
Last updated
07/17/2015
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