Burke, Lisa

Burke, Lisa is an individual health care provider with primary practice located at 8800 Walther Blvd , Baltimore MD 21234-9001. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Burke, Lisa can be contacted via phone (410) 882-3240.

Contact Information

Primary practice address
8800 Walther Blvd Baltimore MD 21234-9001
Phone: (410) 882-3240
Fax: (410) 661-5093
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 364SP0808X R102686 Maryland

Profile Details

NPI number 1548292204
LBN Legal business name Burke, Lisa
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 6th, 2006
Last updated Apr 21st, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1548292204 NPPES
Maryland MEDICAID 663104500
Maryland Other 8300978
Maryland Other 606399-01
Maryland MEDICAID 9608011001
Maryland Other 9676-0057
Maryland Other 093NER-606399-01
Maryland Other 093NSE-606399-01
Maryland Other T016-0014

Popular Providers