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NPI Code Detail

MEDICARE: MS. LAUREN BURKE MSP

MEDICARE: MS. LAUREN BURKE MSP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1235Z00000XSpeech-Language Pathologist

General Provider Information

NPI Number : 1871830315
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. LAUREN BURKE MSP
Provider Business Mailing Address
First Line : 3900 BENTLEY DR
Second Line : APT 321
City : COLUMBIA
State : SC
Zip : 29210-7980
Country : US
Telephone Number : 803-568-1200
Fax Number :
Provider Business Practice Location Address
First Line : 3900 BENTLEY DR
Second Line : APT 324
City : COLUMBIA
State : SC
Zip : 29210-7980
Country : US
Telephone Number : 803-568-1200
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/03/2013
Last Update Date : 01/03/2013

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Directions to “ MS. LAUREN BURKE MSP” Practice Location

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