Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
LISA BURBAGE
Active Sole ProprietorLISA BURBAGE is a Health Maintenance Organization healthcare provider located in CHARLESTON, South Carolina. NPI 1174021265 is currently active in the NPPES registry. Verify at CMS.
Health Maintenance Organization · CHARLESTON, SC
Registration Details
- NPI Number
- 1174021265
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jan 24, 2018 (8.5877272713237 yrs)
- Last Updated
- Jan 24, 2018
- Sole Proprietor
- Yes
Practice Information
- Address
-
14 LOCKWOOD DR APT 12GCHARLESTON, SC, 294011138Browse SC providers · Browse ZIP 29401
- Phone
- 8434428909
- Primary Specialty
-
Health Maintenance Organization
302R00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.