Individual
LENNIS P BURKE JR.
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
50 BELLEFONTAINE ST, STE 405, PASADENA, CA 91105-3132
(626) 796-9259
(626) 449-8560
Mailing address
50 BELLEFONTAINE ST, STE 405, PASADENA, CA 91105-3132
(626) 796-9259
(626) 449-8560
Taxonomy
Speciality
Code
Description
License number
State
2080P0202X
Pediatric Cardiology Physician
Primary
G42405
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
OOG424050
—
CA
Enumeration date
11/17/2005
Last updated
07/08/2007
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