Provider Demographics
NPI:1659831709
Name:BURKE, LAUREN O (MD)
Entity Type:Individual
Prefix:
First Name:LAUREN
Middle Name:O
Last Name:BURKE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:8003 CASTLEWAY DR
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46250-1946
Mailing Address - Country:US
Mailing Address - Phone:317-576-1335
Mailing Address - Fax:317-343-6562
Practice Address - Street 1:120 SAINT LOUIS AVE
Practice Address - Street 2:
Practice Address - City:SEYMOUR
Practice Address - State:IN
Practice Address - Zip Code:47274-2304
Practice Address - Country:US
Practice Address - Phone:812-405-1857
Practice Address - Fax:812-954-5022
Is Sole Proprietor?:No
Enumeration Date:2019-03-24
Last Update Date:2023-06-22
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
IN01087912A207Q00000X, 207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine