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Individual

LISA MARIE BURGER

Active
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Individual

LISA MARIE BURGER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ACAGNP-C

Taxonomy

Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
72583
ID
363LA2200X
Adult Health Nurse Practitioner
Primary
72583
ID
363LG0600X
Gerontology Nurse Practitioner
72583
ID

Other

Enumeration date
05/15/2023
Last updated
03/06/2024
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