Individual
LISA R BURGARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
F.N.P.
Contact information
Practice address
621 S NEW BALLAS RD, 498A, SAINT LOUIS, MO 63141-8232
(314) 251-3376
(314) 251-5781
Mailing address
621 S NEW BALLAS RD, 498A, SAINT LOUIS, MO 63141-8232
(314) 251-3376
(314) 251-5781
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
129049
MO
Other
Enumeration date
06/04/2006
Last updated
11/29/2023
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