Lisa Carrie Butler

NPI 1003885302 - Internal Medicine - 207R00000X

NPI Details
NPI 1003885302
Gender Female
Enumeration Date 03/17/2006
Last Updated 05/06/2011
Entity Type Individual
Active Over 10 years ago
Practice Location
790 EAST BONITA AVE
2ND FLOOR
POMONA CA, 91767-1906, US
Phone (909) 447-8585
Fax (909) 447-8593
Business Location
840 TOWNE CENTER DR
CHAPARRAL MEDICAL GROUP
POMONA CA, 91767-5900, US
Phone (909) 398-1550
Fax (909) 398-1573
Toxanomy
Taxonomy Code 207R00000X
License State California
License Number G77400
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According to our database, Lisa Carrie Butler NPI is 1003885302, taxonomy code is 207R00000X and license number is G77400, license state is located at California. Lisa Carrie Butler physically located at 790 East Bonita Ave, Pomona CA, 91767-1906. NPI Number Lisa Carrie Butler has the Individual type.

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1003885302 NPI number is provided on an as is basis without warranty of any kind. 1003885302 is maintained by the National Plan & Provider Enumeration System. The contents of Lisa Carrie Butler are for informational purposes only.