Healthcare Provider Details

I. General information

NPI: 1093988735
Provider Name (Legal Business Name): LASANDRA D BURNETT CRT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/02/2008
Last Update Date: 04/02/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1634 MIDDLESBROUGH LN
MISSOURI CITY TX
77459-2734
US

IV. Provider business mailing address

1634 MIDDLESBROUGH LN
MISSOURI CITY TX
77459-2734
US

V. Phone/Fax

Practice location:
  • Phone: 832-242-4832
  • Fax:
Mailing address:
  • Phone: 832-242-4832
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2278E1000X
TaxonomyEducational Certified Respiratory Therapist
License Number55694
License Number StateTX
# 2
Primary TaxonomyN
Taxonomy Code2278G1100X
TaxonomyGeneral Care Certified Respiratory Therapist
License Number55694
License Number StateTX
# 3
Primary TaxonomyN
Taxonomy Code2278H0200X
TaxonomyHome Health Certified Respiratory Therapist
License Number55694
License Number StateTX
# 4
Primary TaxonomyN
Taxonomy Code2278P1005X
TaxonomyPulmonary Rehabilitation Certified Respiratory Therapist
License Number55694
License Number StateTX
# 5
Primary TaxonomyN
Taxonomy Code2278C0205X
TaxonomyCritical Care Certified Respiratory Therapist
License Number55694
License Number StateTX
# 6
Primary TaxonomyN
Taxonomy Code2278P3900X
TaxonomyNeonatal/Pediatric Certified Respiratory Therapist
License Number55694
License Number StateTX
# 7
Primary TaxonomyN
Taxonomy Code2278E0002X
TaxonomyEmergency Care Certified Respiratory Therapist
License Number55694
License Number StateTX
# 8
Primary TaxonomyN
Taxonomy Code2278P3800X
TaxonomyPalliative/Hospice Certified Respiratory Therapist
License Number55694
License Number StateTX
# 9
Primary TaxonomyN
Taxonomy Code225400000X
TaxonomyRehabilitation Practitioner
License Number55694
License Number StateTX
# 10
Primary TaxonomyY
Taxonomy Code227800000X
TaxonomyCertified Respiratory Therapist
License Number55694
License Number StateTX
# 11
Primary TaxonomyN
Taxonomy Code2279S1500X
TaxonomySNF/Subacute Care Registered Respiratory Therapist
License Number55694
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: