NPI 1174021265

Lisa Burbage

Practitioner Health Maintenance Organization Charleston, SC

Practice location

Address: 14 Lockwood Dr APT 12g, Charleston, SC 29401-1138
Phone: (843) 442-8909

Registered specialties

Health Maintenance Organization Primary

Managed Care Organizations Taxonomy 302R00000X

Other Health Maintenance Organization providers in South Carolina →

Registry record

NPI: 1174021265
Entity type: Individual
Sex (as registered): Female
NPI issued: 24 Jan 2018
Record last updated: 24 Jan 2018

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.