Healthcare Provider Details

I. General information

NPI: 1720785199
Provider Name (Legal Business Name): DANIELLE LAPIERRE-BURKE PA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/15/2023
Last Update Date: 02/20/2026
Certification Date: 02/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 WELLNESS WAY STE A
TOPSHAM ME
04086-1768
US

IV. Provider business mailing address

1 WELLNESS WAY STE A
TOPSHAM ME
04086-1768
US

V. Phone/Fax

Practice location:
  • Phone: 207-406-7600
  • Fax: 207-618-5683
Mailing address:
  • Phone: 207-406-7600
  • Fax: 207-618-5683

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License NumberPA2546
License Number StateME

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: