Lydia Burke
Individual provider Active NPI Specialist · Derry, NH
NPI 1972082253 · NPPES record last updated Aug 8, 2018
Key facts
- NPI
- 1972082253
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Specialist 174400000X
- Practice address
- 10 Tsienneto Rd
Derry, NH 03038-1505 - Phone
- (603) 434-1577
- NPI assigned
- Aug 8, 2018
- Sex
- Female
- Sole proprietor
- No
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | Yes |
Addresses
Primary practice location
10 Tsienneto Rd
Derry, NH 03038-1505
Mailing address
10 Tsienneto Rd
Derry, NH 03038-1505
Other providers in Derry, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 8, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.