Individual
LISA BURGETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
820 N CHELAN AVE, WENATCHEE, WA 98801-2028
(509) 663-8711
Mailing address
820 N CHELAN AVE, WENATCHEE, WA 98801-2028
(509) 663-8711
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD61455104
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002543600
—
ID
01
—
P00029388
RR MEDICARE
ID
Enumeration date
06/22/2006
Last updated
09/11/2023
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