MEDICARE: MS. LISA BURNEY

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	385H00000X	Respite Care
2	385HR2050X	Respite Care Camp
3	376J00000X	Homemaker

General Provider Information

NPI Number	:	1972434546
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. LISA BURNEY

Provider Business Mailing Address
First Line	:	4079 COLONIAL PL
Second Line	:
City	:	GROVE CITY
State	:	OH
Zip	:	43123-3349
Country	:	US
Telephone Number	:	937-554-8867
Fax Number	:

Provider Business Practice Location Address
First Line	:	203 HURON AVE
Second Line	:
City	:	DAYTON
State	:	OH
Zip	:	45417-1621
Country	:	US
Telephone Number	:	513-341-5302
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/25/2026
Last Update Date	:	05/25/2026

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Directions to “ MS. LISA BURNEY ” Practice Location

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