Burris, Lisa Keating
Burris, Lisa Keating is an individual health care provider with primary practice located at 1225 Graham Rd , Florissant MO 63031-8012. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Student, Health Care / Student in an Organized Health Care Education/Training Program. Student, Health Care / Student in an Organized Health Care Education/Training Program is her primary health care specialty. Burris, Lisa Keating can be contacted via phone (314) 953-6000.Contact Information
Primary practice address
1225 Graham Rd
Florissant MO 63031-8012
Phone: (314) 953-6000
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 2022001190 | Missouri |
Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X |
Profile Details
NPI number | 1124790142 |
---|---|
LBN Legal business name | Burris, Lisa Keating |
Credentials | Physician Assistant (PA) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Sep 28th, 2021 |
Last updated | May 31st, 2022 - about 3 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.
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