Individual
LAKESHA BUTLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
845 S MADISON ST, TUPELO, MS 38801-4905
(662) 377-2500
(662) 377-2069
Mailing address
845 S MADISON ST, TUPELO, MS 38801-4905
(662) 377-2500
(662) 377-2069
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
R883302
MS
Other
Enumeration date
06/02/2014
Last updated
06/29/2016
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