Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RP1001X | Pulmonary Disease | 0101265876 | VA |
Y | 2080P0214X | Pediatric Pulmonologist | 0101265876 | VA |
NPI | 1174547087 |
---|---|
Provider Name | Dr. Lisa A. Burns |
First Address | Richmond, VA 23291-1734 |
Second Address | Richmond, VA 23219 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/07/2006 |
Last Update Date | 21/02/2019 |