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NPI Code Detail

MEDICARE: CHRISTIAN LAMAR BAILEY-BURKE

MEDICARE:   CHRISTIAN LAMAR BAILEY-BURKE
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
1390200000XStudent in an Organized Health Care Education/Training Program

General Provider Information

NPI Number : 1962203034
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHRISTIAN LAMAR BAILEY-BURKE
Provider Business Mailing Address
First Line : 8 SEARLE CENTER DR
Second Line :
City : DURHAM
State : NC
Zip : 27710-3035
Country : US
Telephone Number : 336-862-4795
Fax Number :
Provider Business Practice Location Address
First Line : 8 SEARLE CENTER DR
Second Line :
City : DURHAM
State : NC
Zip : 27710-3035
Country : US
Telephone Number : 919-668-1670
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/24/2025
Last Update Date : 03/24/2025

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Directions to “ CHRISTIAN LAMAR BAILEY-BURKE ” Practice Location

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