IndividualActive
Lisa Burbage
NPI 1174021265 · Health Maintenance Organization · Charleston, SC
Provider details
- NPI number
- 1174021265
- Entity type
- Individual
- Primary specialty
- Health Maintenance OrganizationManaged Care Organizations
- Sex
- Female
- Sole proprietor
- Yes
Specialties & taxonomies
Managed Care Organizations
Practice location
14 Lockwood Dr Apt 12g
Charleston, SC 29401-1138
Phone: (843) 442-8909
Approximate (ZIP-level) locationGet directions
Mailing address
14 Lockwood Dr Apt 12g
Charleston, SC 29401-1138
Registry dates
- Enumerated
- 2018-01-24
- Last updated
- 2018-01-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.