Individual
MS. LORI LANE BUTKOVICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN,CS-P
Contact information
Practice address
500 N ROLLING RD, BALTIMORE, MD 21228-4134
(410) 869-7244
Mailing address
1659 THETFORD RD, TOWSON, MD 21286-8131
(410) 494-1804
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
RN113421
MD
Other
Enumeration date
08/18/2006
Last updated
07/08/2007
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