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Patricia Burgos

NPI 1528720133 · on the registry since 2021

Practice

Address
2972 State St
Lake Station, IN 46405
Phone
(219) 945-2642

Registry record

Primary taxonomy
103K00000X
103K00000X
Licence states on file
IN
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2021-10-11

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Indiana