Provider Demographics
NPI:1346544079
Name:BURKE, LISA JEAN-LEE (PCD (DONA))
Entity Type:Individual
Prefix:
First Name:LISA
Middle Name:JEAN-LEE
Last Name:BURKE
Suffix:
Gender:F
Credentials:PCD (DONA)
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:31841 VIA BARRAZA
Mailing Address - Street 2:
Mailing Address - City:TEMECULA
Mailing Address - State:CA
Mailing Address - Zip Code:92592-3737
Mailing Address - Country:US
Mailing Address - Phone:858-472-3009
Mailing Address - Fax:
Practice Address - Street 1:31841 VIA BARRAZA
Practice Address - Street 2:
Practice Address - City:TEMECULA
Practice Address - State:CA
Practice Address - Zip Code:92592-3737
Practice Address - Country:US
Practice Address - Phone:858-472-3009
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-01-10
Last Update Date:2011-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula