Lindsley Alice Burke

Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Malibu, CA

NPI 1013634153 · NPPES record last updated Oct 19, 2022

Key facts

NPI
1013634153
Entity type
Individual (NPI type 1)
Primary specialty
Student in an Organized Health Care Education/Training Program 390200000X
Practice address
31450 Broad Beach Rd
Malibu, CA 90265-2669
Phone
(877) 563-4811
NPI assigned
Oct 19, 2022
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program
Group: 193400000X SINGLE SPECIALTY GROUP
390200000X CA Yes

Addresses

Primary practice location

31450 Broad Beach Rd
Malibu, CA 90265-2669

Mailing address

31450 Broad Beach Rd
Malibu, CA 90265-2669

Other providers in Malibu, CA

All providers in Malibu, CA · Student in an Organized Health Care Education/Training Program in California

Sources for this page

Verify at the official NPI Registry.