Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RH0003X | Hematology & Oncology | 1333 | NC |
NPI | 1033101670 |
---|---|
Provider Name | Dr. Lillian P Burke |
First Address | Greenville, NC 27834-3770 |
Second Address | Greenville, NC 27834-3770 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/08/2005 |
Last Update Date | 09/10/2014 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1315X | BCBS NC (01) | NC |
830008228 | RAILROAD MEDICARE (01) | NC |
891315X | (05) | NC |
B82407 | (02) | NC |