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Individual
LAKECHA BUTLER
Active
Individual
LAKECHA BUTLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1162253
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
283815301
—
TX
01
—
868T66
BCBS
TX
Enumeration date
07/11/2011
Last updated
01/12/2012
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