Healthcare Provider Details

I. General information

NPI: 1922926302
Provider Name (Legal Business Name): REECE LILLIAN BURKE
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/06/2026
Last Update Date: 07/06/2026
Certification Date: 07/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11776 MARIPOSA RD STE 103
HESPERIA CA
92345-1622
US

IV. Provider business mailing address

11776 MARIPOSA RD STE 103
HESPERIA CA
92345-1622
US

V. Phone/Fax

Practice location:
  • Phone: 760-956-2462
  • Fax:
Mailing address:
  • Phone: 760-956-2462
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: