| Doctor Name: | LISA K BURWELL |
| NPI Number: | 1033368808 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | N.P |
| License Number: | RN790888 |
| Business Practice Address: | 150 Reynoir St Biloxi, MS - 395304130 |
| Business Phone Number: | 2284321571 |
| Business Fax Number: | 2284361654 |
| Mailing Address: | 150 Reynoir St, BILOXI |
| State: | MS |
| Postal Code: | 395304130 |
| Phone Number: | 2284321571 |
| Fax Number: | 2284361654 |
| NPI Enumeration Date: | 09/16/2008 |
| NPI Last Update Date: | 09/16/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LP2300X |
| License Number: | RN790888 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MS |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Primary Care |
| Taxonomy Definition: | |