Lisa Denise Burns, MD

Individual provider Active NPI Pediatrics Physician · South Burlington, VT

NPI 1366764243 · NPPES record last updated Feb 19, 2010

Key facts

NPI
1366764243
Entity type
Individual (NPI type 1)
Primary specialty
Pediatrics Physician 208000000X
License
0420011273 (VT)
Practice address
37 Brewer Pkwy
South Burlington, VT 05403-7326
Phone
(802) 658-4171
NPI assigned
Feb 19, 2010
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
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
0420011273VTMDPediatrics Physician

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 0420011273 VT Yes

Addresses

Primary practice location

37 Brewer Pkwy
South Burlington, VT 05403-7326

Mailing address

37 Brewer Pkwy
South Burlington, VT 05403-7326

Other providers in South Burlington, VT

All providers in South Burlington, VT · Pediatrics Physician in Vermont

Sources for this page

Verify at the official NPI Registry.