Individual provider · Type 1 NPI

Lisa Keating Burris, PA

Student in an Organized Health Care Education/Training Program · Florissant, MO

NPI number 1124790142 Active

Practice location

1225 Graham Rd
Florissant, MO 63031-8012

Call (314) 953-6000 Map

Mailing address

3312 Saint Charles Rd
Columbia, MO 65201-6657

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000X2022001190 (MO)
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1124790142

Lisa Keating Burris, PA's National Provider Identifier is 1124790142, issued on Sep 28, 2021. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Florissant, MO. The record was last updated on May 31, 2022.