person
Lacie Shae Burge, NP
Family Nurse Practitioner in Winchester, Indiana
NPI 1972043305

Lacie Shae Burge is a Family Nurse Practitioner based in Richmond, IN and is specialized in Family. Lacie Shae Burge practices in Winchester, IN and has the professional credentials of NP. The NPI Number for Lacie Shae Burge is 1972043305 and holds a License No. 71007164A (Indiana).

The current practice location address for Lacie Shae Burge is 400 South Oak Street, Winchester, IN and can be reached out via phone at 765-584-6600 and via fax at 765-584-6503.

Location: 400 South Oak Street, Winchester, IN, 47374
person
Provider Profile Details
NPI Number
1972043305
Provider Name
Lacie Shae Burge
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
400 South Oak Street, Winchester, IN, 47374
Phone Number
765-584-6600
Fax Number
765-584-6503
Provider Enumeration Date
03/04/2017
Last Update Date
09/14/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
P02622733 01 IN RAILROAD PTAN
224040161 01 IN MEDICARE PTAN
institution
Provider Business Practice Location Address Details
Address
400 South Oak Street
City
State
Zip
47394
Phone Number
765-584-6600
Fax Number
765-584-6503
person
Provider Business Mailing Address Details
Address
400 South Oak Street
City
State
Zip
47394
Phone Number
765-584-6600
Fax Number
765-584-6503
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
71007164A (Indiana)
Definition
Definition to come...
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