LISA BURKS

CHARLESTON, SC
NPI1699153775
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy224P00000X Prosthetist
(Licence: SC  IRC. 35076)
Enumeration Date2015-05-11
Last Update Date2015-05-11
Business Address
-- LISA BURKS
4026 ASHLEY PHOSPHATE RD
CHARLESTON, SC 29418-8547
Phone number: 843-730-0186
Mailing Address
-- LISA BURKS
6520 DORCHESTER RD APT 400G
NORTH CHARLESTON, SC 29418-5140
Phone number: 843-730-0186
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