Provider Demographics
NPI:1235015306
Name:BURLESON, CASEY LAMBERT (PHARMD, CPP)
Entity type:Individual
Prefix:DR
First Name:CASEY
Middle Name:LAMBERT
Last Name:BURLESON
Suffix:
Gender:F
Credentials:PHARMD, CPP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:143 DANIELLE DR
Mailing Address - Street 2:
Mailing Address - City:STANFIELD
Mailing Address - State:NC
Mailing Address - Zip Code:28163-7650
Mailing Address - Country:US
Mailing Address - Phone:336-263-3495
Mailing Address - Fax:
Practice Address - Street 1:1085 NE GATEWAY CT NE STE 200
Practice Address - Street 2:
Practice Address - City:CONCORD
Practice Address - State:NC
Practice Address - Zip Code:28025-2412
Practice Address - Country:US
Practice Address - Phone:704-403-8650
Practice Address - Fax:704-403-8655
Is Sole Proprietor?:No
Enumeration Date:2025-08-14
Last Update Date:2025-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC18308183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist