Individual
LYNDSAY BUTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8028 CARNEGIE BLVD, FORT WAYNE, IN 46804-5787
(260) 425-5950
Mailing address
11109 PARKVIEW PLAZA DR # 117, FORT WAYNE, IN 46845-1701
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
28174844A
IN
Other
Enumeration date
03/02/2021
Last updated
10/14/2022
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