Individual
MRS. LAUREN BURKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
660 MCQUEEN SMITH RD N STE H, PRATTVILLE, AL 36066-7559
(334) 350-3362
Mailing address
448 HEARTSFIELD DR, MONTGOMERY, AL 36117-6307
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
4999
AL
235Z00000X
Speech-Language Pathologist
Primary
COND.20191081-SP
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NA
N/A
—
Enumeration date
08/15/2019
Last updated
09/16/2021
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