Individual
LACEY BURKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N. P.
Contact information
Practice address
3 SAINT FRANCIS DR STE 300, GREENVILLE, SC 29601-3972
(864) 233-8063
Mailing address
3 SAINT FRANCIS DR STE 300, GREENVILLE, SC 29601-3972
(864) 233-8063
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
F0716967
SC
Other
Enumeration date
11/14/2016
Last updated
11/14/2016
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