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Lola J Burke, MD
Addiction Medicine (Psychiatry & Neurology) Physician in Kingwood, West Virginia
NPI 1972897684

Lola J Burke is an Addiction Medicine (Psychiatry & Neurology) Physician based in Kingwood, WV and is specialized in Addiction Medicine. Lola J Burke practices in Kingwood, WV and has the professional credentials of MD. The NPI Number for Lola J Burke is 1972897684 and holds a License No. 39113 (West Virginia).

The current practice location address for Lola J Burke is 428 Morgantown St Ste 1, Kingwood, WV and can be reached out via phone at 304-329-7124 and via fax at 304-329-7092.

Location: 428 Morgantown St Ste 1, Kingwood, WV, 26537-1141
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1972897684
Provider Name
Lola J Burke
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
428 Morgantown St Ste 1, Kingwood, WV, 26537-1141
Phone Number
304-329-7124
Fax Number
304-329-7092
Provider Enumeration Date
05/31/2011
Last Update Date
12/14/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
3810027539 05 SC
institution
Provider Business Practice Location Address Details
Address
428 Morgantown St Ste 1
City
Kingwood
State
West Virginia
Zip
26537-1140
Phone Number
304-329-7124
Fax Number
304-329-7092
person
Provider Business Mailing Address Details
Address
428 Morgantown St Ste 1
City
Kingwood
State
West Virginia
Zip
26537-1140
Phone Number
304-329-7124
Fax Number
304-329-7092
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
25293 (West Virginia)
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Psychiatry & Neurology
Speciality
Addiction Medicine
Taxonomy
2084A0401X
License No.
39113 (South Carolina)
Definition
A doctor of osteopathy board eligible/certified in the field of Psychiatry by the American Osteopathic Board of Neurology and Psychiatry is able to obtain a Certificate of Added Qualifications in the field of Addiction Medicine
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